Vendor and Sponsor Registration – WVSRC

West Virginia Society for Respiratory Care

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Vendor and Sponsor Registration

If your company would like to join or support a State Respiratory Care Conference please complete the form below.

Conference Vendor and Sponsor Registration Form

Conference *

Fall 2022 State RT Conference

Company Name *

Contact Name and Title *

Address *

City, State, Zip Code *

Phone Number *

Email *

Email

Confirm Email

Vendor Options

$600 - Vendor Fee

Sponsorship Options

$300 - Registration Table Sponsorship
$550 - Main Meal Sponsorship (Lunch Fall Conference, Breakfast Winter Conference)
$300 - Refreshment Break AM - Day 1 Sponsorship
$300 - Refreshment Break PM - Day 1 Sponsorship
$300 - Refreshment Break AM - Day 2 Sponsorship
$1,000 - Welcome Networking Event Sponsorship

Company Representative 1

First

Last

Company Representative 2

First

Last

Other Comments/Requirements:

Please list electrical or other needs that you will have in the exhibit area: (copy)

WestVirginiaSRC@gmail.com

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