Exhibitor Registration

Company Name______________________________________________________
Company Representative_______________________________________________

Address_____________________________________________________

Phone______________Fax_____________Email______________________

Booths are 8 feet by 8 feet and costs $425. It includes a 6-foot table and chairs. Cost includes booth space and CPIA membership for 2018.  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, 2019. ______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. 26.

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, 2019 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.

Blocks of rooms – Book directly with hotel      Indicate you are with CPIA for the special rate.
Comfort Inn $104.95 + tax/night double queens
308-237-5971    Block will be released Feb. 12