To sign up: CONTACT Angela Barbosa 765.642-0264 • EMAIL angela@getlinkedmadison.com

PRESENTING SPONSOR

Presenting Sponsor $4999 Featured with name and logo placement in all online and print pre-event marketing to tens of thousands of regional baby boomers+ across Indiana, Ohio, Illinois, and beyond. Premier booth placement at event OR multiple booths to feature various products. Connection to 35+ decision makers for businesses marketing to YOUR target consumer base, multi-region marketing reach, business development and social media exposure.

Supporting Sponsor $1499 Highlighted name placement (logo on space available basis) in many online and print pre-event marketing to tens of thousands of regional baby boomers+ across Indiana, Ohio, Illinois, and beyond. Premier booth placement at event. Connection to 35+ decision makers for businesses marketing to YOUR target consumer base, multi-region marketing reach, business development and social media exposure.

Featured Booth Exhibitor $399 before June 22 / $449 10x10 booth space, highlighted listing on booth program, connection to over 1,000 targeted potential consumers, multi-region marketing reach, increased business development and social media contacts.

Table-top Display Exhibitor $199 before June 22 / $249 6x8 booth space/skirted table, connection to over 1,000 targeted potential consumers, multi-region marketing reach, increased business development

and social media contacts.

Attend FREEIncludes one expo ticket, opportunity to connect to more than 30 organizations, regional business reach, great food, exciting door prizes, and a non-stop afternoon of music, slot tournaments, and other activities at

Hoosier Park.

Show off your “Bucket List” product or service to tens of thousands of active and affluent potential consumers at Hoosier Park. Join us for East Central Indiana’s first-ever business-to-consumer expo targeting the active and affluent Baby Boomer Plus generations is coming soon. — July 10 — Reserve your sponsorship or exhibitor space today!

APPLICATION & AGREEMENT

Please check all that apply:

q Exclusive PRESENTING Sponsor ($4999) SOLD OUT q EXPO Featured Exhibitor (10’x10’ booth $399)

q SUPPORTING Sponsor ($1499 - only 3 available) q EXPO Tabletop Booth Exhibitor (6’ table $199)

Company Name ______________________________________________________________________________________________

Contact Person ______________________________________________________________________________________________

Job Title ________________________________________________ Email _____________________________________________

Phone _____________________________________________ *Cell phone _____________________________________________

Street Address ______________________________________________________________________________________________

City _____________________________________ State: __________________________ Zip: _____________________________

Billing Information:

Company Name _____________________________________________________________________________________________

Mailing Address _____________________________________________________________________________________________

City _____________________________________ State: __________________________ Zip: _____________________________

Contact Person ____________________________________________ Email ____________________________________________

Credit Card Number: ______________________________________________________________ 3 Digit Security Code ___________

q Master Card q Visa Card q Discover q AMEX

Exp. Date: __________________________________________________ Amount $: ____________________________________

Name on card: ______________________________________Authorized signature: _____________________________________

*Cell numbers for alerts, emergencies and schedule changes only. Will not be published.

Make checks payable to the 2012 Bucket List Expo Manager: Madison County Chamber

SCAN/EMAIL completed form with payment to angela@getlinkedmadison.com or FAX to (765) 642-0266

Questions? Contact Angela Barbosa at 765-642-0264 or angela@getlinkedmadison.com

Target the Fast-Growing, Active & Affluent Baby Boomer+ Demographic! Market to more than 90,000 Prime Contacts • Over 1000 Anticipated Attendees

Only 35 Exhibitor/Sponsor Spaces Available