Vendor Form Networking and Educational Workshop for Lymphedema Therapists"Lower Body Lymphatics"October 21, 2023 Sponsor Levels (You may choose more than one): GOLD SPONSOR: $1,250 (15-minute presentation time. Logo on website) SILVER SPONSOR: $1,000 (10-minute presentation time.) BRONZE: $750 (5-minute presentation time.) Tote Stuffer: $350 Total$ INFO: Each vendor will get their allotted time during the 1-day workshop online, in between the speaker presentations. An Exhibitor Sheet will be provided to all attendees with your contact info. (with logo for GOLD) A full contact list of all attendees will be provided within a few days after the workshop. Seminar Company Name (As you would like it to appear) Company Contact Staff Names Staff Emails Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Phone Cell Fax Email How do you plan to pay? Paypal Check By Mail Other Please Explain Submit Form Without Payment The form was sent successfully. An error occured. Please click one of the PayPal buttons below to complete registration Submit Payment success Payment failed The form was sent successfully. An error occured.
