Exhibitor Registration



February 21-22, 2016  Burlington Community Center, Burlington, Colorado

Register early, space may be limited!!

Company Name______________________________________________________
Company Representative_______________________________________________



Booths are 8 feet by 8 feet and costs $400. It includes a 6-foot table and chairs. Cost includes booth space and CPIA membership for 2016.  Please indicate if you need electricity. _____YES _____NO

Exhibitors may put an 8 ½ x 11 inch black & white ad in the Proceedings at no charge. If you are unable to be an exhibitor but would like to put an ad in the Proceedings, it will cost $80. Ads must be received by Jan. 30, 2017. ______Yes, I want an ad.   A Power Point presentation that includes 3-5 images of exhibitor products will be displayed at the conference this year. If interested in this activity, contact Donna Lamm prior to Feb. 16.

CPIA will be giving away door prizes throughout the day. If you would be willing to donate something for a door prize please check here. ______________

The person listed above receives free registration with the purchase of a booth.  If you are bringing additional staff, please list them below. Registration is $90 for each additional person.

_____________________________         ______________________________

PLEASE RETURN FORM, AD COPY & ALL FEES (payable to CPIA) by Jan. 30, 2017 to:

Donna Lamm, Executive assistant 
760 N. Thompson St.
Colby, KS 67701

The Association's EIN/TIN is 47-0761818 for those needing that number for fee payment.

You will receive a confirmation notice. If you don’t receive confirmation within two weeks of sending in your reservation, contact Donna at 785-462-7574 or donnalamm@yahoo.com.

A block of rooms has been reserved at the Quality Inn (old Comfort Inn,) 282 S Lincoln St, 719-346-7676, and Burlington, Colo. The cost is same for both, $79/night plus tax.  Please make your reservations directly. Indicate you are with CPIA to get the special rate. The blocks will be released Feb. 10, 2017.

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