Annual Conference & Tradeshow registration

August 5-6, 2019
*Trade show Aug 5-6
Hyatt Regency Orlando, Orlando, FL

Exhibitor Contact Information

Please enter your information as it should appear on all signs and printed materials.

Company Name*

Primary Contact*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Primary Email*

Website*

Courtesy Contact (to receive logistical communications)

First Last

Title

Phone

Email

Provide a products/services description (25 words or less)

Use our description from the 2018 show*

Yes
No

Booth Details

Please Read and Agree - Due to security and sales tax implications, no firm or organization sponsoring the FHCA Annual Conference or serving as an exhibitor is permitted to engage in direct sales (cash, check, or credit card) activity within the exhibit area or contracted conference space. By selecting this, you agree to accept and abide by this policy.*

I Agree

Member Rate (Prior to April 26)

Price: $1,100.00 Quantity:

*Member rate will only be honored if 2019 Associate Member dues have been paid. To pay 2019 member dues, click here. To check the status of your company's membership, please contact Annette Edwaard at aedewaard@fhca.org or call (850)224-3907

Non-member Rate (Prior to April 26)

Price: $2,500.00 Quantity:

Choose your Booth

To view the latest floor plan, click here

Reminder - A sponsorship booth (OS, SC, SS) requires the purchase of a sponsorship in addition to the cost of the booth. Note: Bronze, Silver and Gold Sponsors are eligible for Special Sponsor (SS) Booths.*

I have read the reminder

First Choice*

Second Choice*

Third Choice*

Different levels of participation

Standard (no sponsorship)

Price: $0.00 Quantity:

OS Sponsorship

Price: $1,500.00 Quantity:

Bronze Sponsorship

Price: $3,500.00 Quantity:

Silver Sponsorship

Price: $5,500.00 Quantity:

Gold Sponsorship

Price: $7,500.00 Quantity:

Please list any competing companies that you would like to NOT be near.

Prize

Yes, we will supply a prize
No, we will not supply a prize

Provide a prize for attendees to win, right from your booth! A list of exhibitors and prizes will be published in conference materials. Prize information must be supplied to FHCA on or before Friday, June 7, 2019 to meet publication deadline. Attendees must claim their prizes from exhibitors; exhibitors are responsible for delivering unclaimed prizes to winners.

If yes, what prize will you supply?

Lead Retrieval

50% OFF if you pre-purchase.

Lead Retrieval allows exhibitors to engage with attendees in a permission-based, interactive format through their individual smartphone or tablet device. Lead Retrieval also allows exhibitors to keep track of attendees who have checked into their booth, by scanning their badges to collect their information and to message attendees directly through the app and take notes on their conversation.

Lead Retrieval $150 (50% OFF)*

Advertising details

Full color ad space is available for exhibitors in our Conference Brochure and Program. The Brochure is mailed to all nursing centers and corporate offices in Florida. Attendees refer to the Program all during Conference when checking for details on seminars and other events.

Full Page
Price: $1,000.00 Quantity:

Half Page
Price: $750.00 Quantity:

Quarter Page
Price: $500.00 Quantity:

Select which publication
Conference Brochure
Conference Program
Both
If you choose both, please make sure that you have a Qty of 2 above.

Exhibitor Registration Total
$0.00
Total

As the authorized representative of my company, I have read the entire terms of the Contract and the rules and regulations contained in the FHCA Annual Conference Exhibitor Prospectus, which are incorporated herein by reference, and agree to accept and abide by all of this Contract and the rules and regulations outlined. Please check the box below to continue.*
Agree

Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name

Phone
This field is for validation purposes and should be left unchanged.