forum 2012 exhibitor brochure
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2012
FORUM
InterAction
ENGAGE LEARN BUILD
April 30-May 2Crystal Gateway Marriott, Arlington, VA
E X H I B I T O R I N F O R M AT I O N
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ACDI/VOCA
Action Against Hunger USA
ActionAid International USA
Adventist Development and Relie Agency International
(ADRA)
Arican Medical & Research Foundation
Arican Methodist Episcopal Service and
Development Agency (AME-SADA)
AricareAga Khan Foundation USA
Air Serv International
All Hands Volunteers
Alliance or Peacebuilding
Alliance to End Hunger
American Friends Service Committee
American Jewish Joint Distribution Committee
American Jewish World Service
American Near East Reugee Aid
American Red Cross International Services
American Reugee Committee
AmeriCares
Americas Development Foundation (ADF)
Americas RelieTeam
Amigos de las Amricas
Ananda Marga Universal Relie TeamBaptist World Alliance
Basic Education Coalition (BEC)
Bethany Christian Services International, Inc.
Bnai Brith International
BRAC USA
Bread or the World
Bread or the World Institute
Brothers Brother Foundation
Buddhist Tzu Chi Foundation
Campaign or Innocent Victims in Conict (CIVIC)
CARE
Catholic Relie Services
CBM
Centre or Development and Population Activities (CEDPA)
Center or Health and Gender Equity (CHANGE)
CHF International
ChildFund International
Christian Reormed World Relie Committee (CRWRC)
Church World Service
Communications Consortium Media Center
Concern America
CONCERN Worldwide U.S., Inc.
Congressional Hunger Center
Counterpart International
Creative Learning
Development Gateway
Direct Relie International
Disability Rights Education and Deense Fund (DREDF)
The Eagles Wings Foundation
Easter Seals
Educational Concerns or Hunger Organization (ECHO)Education Development Center (EDC)
Episcopal Relie & Development
Ethiopian Community Development Council
Family Care International
Food or the Poor (FFP)
Freedom rom Hunger
Friends o ACTED
Friends o the Global Fight
GOOD360
Giving Children Hope
The Global Food Banking Network
Global Fund or Children
GlobalGiving
Global Health Council
Global Links
Global Resource Services
Global Washington
Habitat or Humanity International
Handicap International USA
Heart to Heart International
Heartland Alliance
Hebrew Immigrant Aid Society
Heier InternationalHelen Keller International
HelpAge USA
Helping Hand or Relie and Development
Holt International Childrens Services
Humane Society International (HSI)
The Hunger Project
Inormation Management and Mine Action Programs
(IMMAP)
INMED Partnerships or Children
InsideNGO
Institute or Sustainable Communities
Interchurch Medical Assistance, Inc. (IMA World Health)
International Catholic Migration Commission (ICMC)
International Center or Not-or-Proft Law
International Center or Research on Women (ICRW)
International Foundation or Electoral Systems (IFES)International Fund or Animal Welare
International Housing Coalition (IHC)
International Medical Corps
International Medical Health Organization (IMHO)
International Orthodox Christian Charities (IOCC)
International Relie & Development
International Relie Teams
International Rescue Committee (IRC)
International Social ServiceUnited States o America
Branch, Inc
International Youth Foundation
IntraHealth International, Inc.
Islamic Relie USA
Jesuit Reugee Services USA
Jhpiego an afliate o The Johns Hopkins University
Keystone Humane Services International
Korean American Sharing Movement
Latter-day Saint Charities
Lie or Relie and Development
Lions Clubs International Foundation
Lutheran World Relie
Management Sciences or Health (MSH)
MAP International
Medical Care Development
Medical Emergency Relie International (Merlin)
Medical Teams International
MedShare International
Mercy Corps
Mercy USA or Aid and Development
Millennium Promise
Mobility International USANational Association o Social Workers
National Peace Corps Association
ONE Campaign
One Economy Corporation
Operation Blessing International Relie and Development
Corporation
Operation USA
Outreach International
Oxam America
Pact
Pan American Development Foundation
Pan American Health and Education Foundation (PAHEF)
PATH
Pathfnder International
PCI-Media Impact
Perkins International
Phelps Stokes
Physicians or Human Rights
Physicians or Peace
Plan USA
Planet Aid
Plant with Purpose
Population Action InternationalPopulation Communication
Presbyterian Disaster Assistance and Hunger Program
Project C.U.R.E.
PCI
ProLiteracy
Reugees International
Relie International
Religions or Peace
Resolve Uganda
RESULTS
ReSurge International
Salvation Army World Service Ofce
Save the Children
Seva Foundation
Society or International Development (SID)
Solar Cookers InternationalSolidarity Center
Stop Hunger Now
Transparency International USA
Trickle Up Program
Unitarian Universalist Service Committee
United Methodist Committee on Relie
United Nations Foundation
United States International Council on Disabilities (USICD)
United Way Worldwide
USA or UNHCR
U.S. Climate Action Network (USCAN)
U.S. Committee or Reugees and Immigrants
U.S. Fund or UNICEF
VAB (Volunteers Association o Bangladesh)
Water Aid America
Water or South Sudan
WellShare International
WFP USA
Winrock International
Women or Women International
Women Thrive Worldwide
World Concern
World Connect
World Hope International
World Learning
World Neighbors
World Rehabilitation Fund
World Relie
World Resources Institute (WRI)
World Society or the Protection o Animals
World Wildlie FundWorld Vision
ASSOCIATE MEMBERS
Center or Justice and Peacebuilding, Eastern Mennonite
University
Enough Project (a project o Center or American Progress
(CAP)
Global Masters in Development Practice Secretariat o the
Earth Institute at Columbia University
Moynihan Institute o Global Aairs at Maxwell School o
Syracuse University, The Transnational NGO Initiative
The NGOLD Center at Northern Illinois University
(as o 11/4/11
InterAction Members
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Dear Exhibitors & Sponsors,
As a major partner in our work to end poverty and respond todisasters worldwide, we invite you to register as an exhibitorand sponsor at the 28th annual InterAction Forum, which willbe held April 30-May 2, 2012, at the Crystal Gateway Marriott in
Arlington, Virginia.
The InterAction Forum is the place where the U.S. internationalNGO community and our diverse group o partners gather tostrategize on a wide range o issues. The thought-provokingplenary sessions and interactive workshops give attendees the
chance to hear rom leaders such as Nobel Peace Prize laureates and senior ofcials
rom USAID, the White House, the World Bank and the United Nations. Forum 2011 wasour largest to date, with over 1,000 leaders rom nonprofts, corporations, oundations,government, and other proessionals who work to eradicate extreme poverty and ensurehuman dignity or poor and vulnerable populations worldwide.
Forum 2012 will continue to provide an excellent platorm or discussion on issues thatare critical to the ever-changing development landscape. The Forum acilitates learning,builds relationships and allows space to air diering ideas and perspectives, all with acommon goal o improving the lives o the worlds poorest and most vulnerable people.
Our exhibit hall is a vibrant hub that provides an excellent opportunity or exhibitors andsponsors both to share their products and services, and to engage with leaders romboth our membership and partners rom other sectors.
Our Membership Team is available to answer any questions you may have We havelimited spaces and in recent years exhibitor spaces have sold out quickly. We urge you toregister early.
We hope you will be able to join us or what is sure to be another powerul gathering.
Best regards,
Samuel A. WorthingtonPresident & CEOInterAction
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We are pleased to invite you to exhibit at the 28th annual InterAction
Forum, which will be held April 30-May 2, 2012, at the Crystal
Gateway Marriott in Arlington, Virginia. Forum 2012 will eature
a new and improved exhibitor layout in one large hall, located
adjacent to the plenary session hall and the registration desk.
Special activities and networking opportunities will take place
both in and adjacent to the exhibit hall, allowing or more visibility
and greater opportunities or inormation-sharing and promotion.
Exhibitors may choose between tabletop and pipe & drape booth
options.
As part o our eorts to improve your visibility, we hope to have the
ollowing additional activities to draw attention to the exhibit halls:
Monday, April 30Networking Reception and Scavenger Hunt
Tuesday, May 1Artisan Trade Fair
Wednesday, May2Networking Breakast and Artisan Trade Fair
Exhibitor Program
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Exhibit TimesSET UP: Monday, April 30, 12 p.m.
TEAR DOWN: Wednesday, May 2, 12 p.m.
Exhibits Open
Monday, April 30 4:30-8 p.m.
Tuesday, May 1 4-7:30 p.m.
Wednesday, May 2 8 a.m.-12 p.m.
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Exhibitor Equipment and Fees
All registration orms and payments must be received on or beore April 13, 2012. Exhibit space is limited and will
be assigned on a frst-come, frst-served basis. I all the spaces are sold, you may be placed on a waiting list. Forum
2011 spaces sold out quickly, so we encourage you to register early. Registration will be confrmed via email within
three working days; fnal space assignments will be emailed on or beore April 20, 2012. Within three working days
o the receipt o your registration and payment, your organizations name will be publicized on the Forum Exhibitor/
Sponsorship section o InterActions website. Please note that i we receive your registration ater March 15, 2012,
your organizations name will not be included in the Forum Program, but will be listed in a separate exhibitor yer
distributed at the conerence.
Registration Deadlines
Exhibit SpaceAn exhibit space oor plan is included at the end o this brochure. A map o the
available exhibitor spaces will be accessible on our website and will be updated
regularly with sold booths to indicate vacant spaces let. Please allow at least three
business days or your space assignment to be reected on the online map.
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InterAction Members
Options Fees
Single Tabletop $820
Double Tabletop $1,120
Booth Pipe & Drape $1,470
Nonmember Nonproft
Options Fees
Single Tabletop $1,220
Double Tabletop $1,320
Booth Pipe & Drape $2,020
Corporate/Government
Options Fees
Single Tabletop $1,650
Double Tabletop $2,050
Booth Pipe & Drape $2,550
*Additional exhibitor equipment can be obtained from our event decorator Freeman Co.
by calling their Exhibitor Sales Department at 301-918-7900.
The single tabletop option includes one exhibit space with 8 back drape,
one 6 draped table, two chairs and one wastebasket.* The pipe & drape
booth option includes 8x10 booth with 8 high back drape, 3 high side
drape, one 6 draped table, two chairs and one wastebasket.* In addition,
each exhibit space includes one 7x 44 one-line identifcation sign, one ullaccess registration (inclusive o conerence meals), and the organizations
name on the Forum Exhibitor/Sponsorship section o InterActions website
and in the exhibitor page o the Forum Program, provided that we receive
your registration by March 15, 2012. Otherwise, your organizations name
will be listed in a separate exhibitor yer distributed at the conerence.
Exhibitors are able to purchase additional ull access conerence
registration at a 15% discount. Passes or additional booth personnel
with access to the exhibit area only (not inclusive o workshops, plenary
sessions or conerence meals) may be purchased separately or $20 each
in advance or or $25 each at the door.
Individual tickets to the Gala Dinner may be purchased or $100 each.
One ticket is automatically included with each exhibit registration. I you
are interested in purchasing a ull table or 10 people, please contact
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Corporate/Government Nonmember Nonproft InterAction Member
Diamond Level $100,000 Diamond Level $90,000 Diamond Level $80,000
Platinum Level $75,000 Platinum Level $60,000 Platinum Level $50,000Gold Level $50,000 Gold Level $40,000 Gold Level $30,000
Silver Level $25,000 Silver Level $20,000 Silver Level $15,000
Bronze Level $15,000 Bronze Level $10,000 Bronze Level $5,000
We oer special packages with dierent levels o support that provide excellent visibility and acknowledgement to your organization.
BRONZE LEVEL PARTNERBronze Level Partners will receive the ollowing sponsorship benefts:
One single tabletop exhibit (6-oot skirted table with back drape,
two chairs and one wastebasket).
A pre-event attendee registration list as well as a post-event
registration list will be emailed to sponsors. Your organization
description will be included in the Forum Program (150 words max).
Full conerence registration or two organization representatives.
Your organizations logo and a link to its website will be included on
the InterAction website.
A yer (provided by you no later than April 23) will be included in all
conerence attendee tote bags.
SILVER LEVEL PARTNERSilver Level Partners will receive all o the Bronze Level Partner benefts
and the ollowing additional sponsorship benefts:
One o the ollowing (or similar) items, which must be provided to us
no later than April 23, 2012, will be placed in the attendee tote bags Ballpoint Pen Flash Drive
Note Pad Calculator
Your organizations description will be added to the Forum Exhibitor/
Sponsorship section o InterActions website. Your organization will receive one hal-page, ull-color advertisement
in the Forum-recap issue o Monthly Developments Magazine
(artwork due June 1).
GOLD LEVEL PARTNERGold Level Partners will receive all o the Bronze Level Partner benefts
and the ollowing additional sponsorship benefts:
One o the ollowing (or similar) items, which must be provided to us
no later than April 23, 2012, will be placed in the attendee tote bags. Ballpoint Pen Flash Drive
Note Pad Calculator
Your organizations banner will be displayed and your organization
recognized during any one reception at the conerence, provided we
receive your sponsorship and logo by March 15, 2012. Your organizations description and up to three photographs will
be included on the Forum Exhibitor/Sponsorship section o the
InterAction website.
Your organization will receive one ull-page, ull-color advertisement
in the Forum-recap issue o Monthly Developments Magazine
(artwork due June 1).
PLATINUM LEVEL PARTNERPlatinum Level Partners will receive all o the Bronze Level Partner
benefts and the ollowing additional sponsorship benefts:
One o the ollowing (or similar) items, which must be provided to us
no later than April 23, 2012, will be placed in the attendee tote bags.
Ballpoint Pen Flash Drive
Note Pad Calculator
Your organizations banner will be displayed and your organization
recognized during any one reception at the conerence, provided we
receive your sponsorship and logo by March 15, 2012.
Your organizations logo, description and hyperlink to its website,
along with up to three photographs, will be posted on the Forum
Exhibitor/Sponsorship section o the InterAction website.
Your organization will receive one ull-page, ull-color advertisement
in the Forum-recap issue o Monthly Developments Magazine
(artwork due June 1).
DIAMOND LEVEL PARTNERDiamond Level Partners will receive all o the Bronze Level Partner
benefts and the ollowing additional sponsorship benefts:
Your organizations one-color logo will be included on each
attendees Forum tote bag, provided we receive your sponsorship
and logo by March 15, 2012.
Your organizations name and logo will be displayed on a large
screen and your organization will be recognized at the plenary
dinners throughout the conerence.
Your organizations logo, description and hyperlink to its website,along with up to three photographs and/or a short embeddable
video, will be included on the Forum Exhibitor/Sponsorship section
o the InterAction website.
Your organization will receive one ull-page, ull-color advertisement
in the Forum-recap issue o Monthly Developments Magazine
(artwork due June 1).
ADDITIONAL SPONSORSHIP OPPORTUNITIESWe are happy to discuss a tailor-made sponsorship package that
delivers the best value or your money. Some options could include
special events, scholarships and technology options. Please contact
Taina Alexander at [email protected] or urther details
about these opportunities.
SCHOLARSHIP FUND OPTIONNew this year, sponsors can designate 10%o their sponsorship
or InterActions scholarship und. InterAction will use the und to
assist both young proessionals with a career interest in international
development and InterAction member sta rom the Global South
to attend Forum 2012. Attending the Forum will provide numerous
opportunities to learn, network and engage on issues o critical
importance to our community.
You will be able to opt into contributing to our scholarship und by
ticking a box in the registration orm at the back o this brochure.
Please contact Taina Alexander at [email protected] or
urther details about these opportunities.
Sponsorship Opportunities
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As a cost-eective way to reach the over 1,000 attendees at the InterAction
Forum, exhibitors may purchase advertising space in the ofcial conerence
program. Please tick the corresponding box on the registration orm toreserve your space. Artwork should be sent to Zoe Plaugher at zplaugher@
interaction.org by March 15.
Advertise in the Forum 2012 Program
Size Dimensions Price
1/4 Page 3.75 x 5 $500
1/2 Page 7.5 x 5 $750
Full-Page 7.5 x 10 $1000
Format.ti or .pd fles
Color modeCMYK
Resolution300 dpi (minimum)
Payment must be received in ull at the time o registration.
We also encourage you to submit an advertisement to InterActions magazine, Monthly Developments. I you opt to
advertise in the special May issue to be distributed at the Forum, please tick the corresponding box on the registration
orm and send your artwork to Zoe Plaugher at [email protected] byApril 1.
Note: Complimentary advertising space in Julys Forum-recap issue o Monthly Developments is included in some
sponsorship packages, but sponsors may wish to purchase additional advertising in the May issue that will be
distributed at the Forum itsel. We oer a discount i you choose to run in multiple issues o Monthly Developments
throughout the year.
Advertise in Monthly Developments Magazine
Size (trim size = 8.375 x 10.75) Dimensions Price
Full-Page (centered) 7.125 x 9.5 $2175
Full-Page (including .125 bleed) 8.5 x 10.875 $2175
1/2 Page 7.125 x 4.626 $1315
1/3 Page (square) 4.5 x 4.5 $1090
1/3 Page (vertical) 2.25 x 9.5 $1090
1/4 Page 3.5 x 4.625 $915
Format.ti or .pd fles
Color modeCMYK
Resolution300 dpi (minimum)
Payment must be received in
ull at the time o registration.
Advertising Opportunities
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The exhibitor assumes entire responsibility and liability or losses,
damages, and claims arising rom exhibitor activities on the hotel
premises and will indemniy, deend, and hold harmless InterAction,
Freeman Co. and the hotel, its owner, and its management
company, as well as their respective agents, servants, andemployees rom any and all such losses, damages, and claims.
The hotel will not be responsible or liable or any loss, damage, nor
claims arising out o exhibitors activities on the Hotels premises
except or any claims, loss, or damages arising directly rom the
hotels own negligence
The exhibitor acknowledges that neither the Crystal Gateway
Marriott nor InterAction maintain insurance covering each
exhibitors property and that it is the sole responsibility o each
exhibitor to obtain outside insurance i deemed necessary.
The shipping and handling o all exhibit materials must be
arranged directly with Freeman Co. in advance, or an additional
ee. For more inormation about shipping provided by Freeman
Co., please log on to the exhibitor homepage on our website at
www.interaction.org/2012-orum-exhibit.
All cancellations must be submitted in writing to InterAction.
Please reer to the below chart or reunds entitled to your
organization in the case o cancellation.
Cancellation Period Reund*
On or before April 16, 2012 50%
After April 16, 2012 0%
*All refunds listed above are a percentage of the booth price only. No refund
for additional booth passes.
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Insurance & Liability
Shipping Information
Cancellation & Refunds
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A/V, electrical equipment, high-speed Internet and telephone services can be obtained by contacting Chris White at
[email protected] and by phone 703-271-5194, or you can download the appropriate orms at InterActions
website at www.interaction.org/2012-orum-exhibit and ax them to Marriott accounting at 703-271-5235 to make
payment arrangements.
I you need assistance in setting up your exhibits/displays, please schedule with Chris White at William.c.white@
marriott.com and by phone 703-271-5194 prior to arrival.
InterAction has secured a special rate o $249.00 + tax per night (single or double room) or our event. To guarantee
this rate, you must make your reservation as early as possible, but no later than April 8, 2012, Please go to the
Marriott website at http://www.marriott.com/hotels/travel/wasgw-crystal-gateway-marriott/ and register using promo
code intinta. Cancellations must be made 24 hours prior to your scheduled arrival. InterAction assumes no
responsibility, fnancial or otherwise, or hotel arrangements
For any additional inquiries about accommodations, contact:
Crystal Gateway Marriott
1700 Jeerson Davis Highway
Arlington, VA 22202
Phone: 1-800-228-9290
Fax: 703-271-5212
Audio-Visual& Other Services
HotelAccommodations
I you would like to order additional booth equipment, please contact the
Freeman Exhibitor Sales Department at 301-918-7900.
Additional Booth Equipment
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Yellow = Pipe & Drape Booths Gold = Tabletop Red = Food, beverageand attendeegathering spots
Exhibit Hall Layout
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INFORMATION
First Name _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_Last Name _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_
As you wish to appear on your name tag at the orum
Title _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_Organization _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_
_|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_Member Nonmember nonproft
Corporate Government
Address _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_ _|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_
City _|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_State _|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ | Zip _ |_|_ |_ |_
Tel _______________Fax _______________
Email _|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_Registration confrmation will be sent via email
EXHIBIT OPTIONS(For exhibitor ees, please see the exhibitor brochure)Check one: InterAction Members
Nonmember nonproft Organizations
Corporate
Government
Check one: Single Tabletop Double Tabletop Booth Pipe & Drape
BE A SPONSOR AT THE INTERACTION FORUM
Corporate/Government Nonmember Nonproft InterAction Member
Diamond ($100,000) Diamond ($90,000) Diamond ($80,000)Platinum ($75,000) Platinum ($60,000) Platinum ($50,000)
Gold ($50,000) Gold ($40,000) Gold ($30,000) Silver ($25,000) Silver ($20,000) Silver ($15,000) Bronze ($15,000) Bronze ($10,000) Bronze ($5,000)InterAction Scholarship Fund
Please designate 10% to InterActions Scholarship FundNew this year, you will have an opportunity to designate 10% o your
sponsorship or InterActions scholarship und. InterAction will use
the unds to assist both young proessionals with a career interest in
international development, and InterAction member sta rom the Global
South to attend Forum 2012.
ADVERTISING OPPORTUNITIES Advertise in the Forum 2012 Program Advertise in Monthly Developments 1/4 Page ($500) 1/4 Page ($915) 1/2 Page ($750) 1/3 Page ($1090) Full Page ($1000) 1/2 Page ($1315)
Full Page ($2175)
ADDITIONAL
FULL CONFERENCE
REGISTRATION
Exhibitor registration deadline is April 13.
Cancellations must be submitted by email
to [email protected] by April 16.
Need extra tickets?
GALA PLENARY & AWARDS BANQUET Full Table (9 Additional seats or $800) Additional SeatTickets are $100 each. How many? ____
TOTAL $ ___________
BOOTH PERSONNEL PASSES
First Name _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_Last Name _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_
Title _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_Organization _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_ _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_
First Name _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_Last Name _|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_
Title _|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_Organization _|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_ _|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_
There will be $20 charge or each additional booth personnel. Please include in your total payment.
PAYMENT INFORMATION VISA Master Card American Express
Card Holders Name_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_Credit Card Number _ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_
Expiration Date ____/____/______Card Holders Signature ________________________
Date ____/____/______
Make checks payable to InterAction
Be sure to write EXHIBITOR PROGRAM in the memo feld. Send payments to
InterAction, Attn: Forum Registrar
1400 16th Street, NW, Suite 210
Washington, DC 20036 USA
Tel: 1.202.667.8227
Forum 2012Exhibitor Registration Form
Please indicate your preerence or booth location/tabletop location:1st_____________2nd_____________3rd_____________
Full Name _ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ Full Name _ |_ |_ |_ |_|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_Title _ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ Title _ |_ |_ |_ |_|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_Organization _ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_|_ |_ Organization_ |_ |_ |_ |_|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_
FAX your completed orm today!Send to 1.202.729.6756
MEALS & FUNCTIONS
The ollowing meals are includued in your complete orum registration.
Monday, April 30 Tuesday, May 1 Wednesday, May 2
Networking Luncheon Plenary Breakast Exhibit Hours Breakast
Exhibit/Happy Hour Plenary Luncheon Closing Plenary LuncheonGala Reception
Gala DinnerSPECIAL ACCOMMODATIONS I preer vegetarian meals I have special needs as ollows:___________________________________________________
___________________________________________________
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1400 16th Street, NW, Suite 210Washington, DC 20036 [email protected]
2012FORUM