For more conference information, send an e-mail to: firstname.lastname@example.org. NGAI 2018 Conference Exhibition Space Application Please fill out the form below to register for this event. The dates for this event are April 19-22, 2018. For more info call 317-247-3196. This form DOES NOT include registration for the conference. To register for the conference, you, all exhibit workers, guests and spouses must fill out an individual registration form. To reserve rooms with the hotel, you must work directly with the hotel no later than March 31, 2018. USE CODE 0418NGA TO GET CONFERENCE RATES. Exhibitor/Organization Name*List exactly as it should appear in the conference program.Exhibitor/Organization Representative Title*Exhibitor/Organization Representative*Each exhibitor attending the conference is required to complete a conference registration form as well as this form.Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code E-mail* Enter Email Confirm Email Office Phone*Cell Phone*(For on-site emergencies)Choose one or more of the following* Yes, I am an NGAI Corporate Member No, I am not an NGAI Corporate Member Yes, I will donate a gift(s) for silent auction/conference door prizes If you would like to become a Corporate Partner, you must complete your partnership application (available on the NGAI website) and submit your corporate partnership fee BEFORE completing this form as a Corporate Partner.Sponsorship OpportunitiesYes, I will be a sponsorNo, not this timeIf YES, choose one or more of the following: Sponsor a Soldier/Airman of the year for Conference Sponsor Hospitality Room Sponsor Coffee Break at Business Meeting Sponsor a hole at the Golf Outing Sponsor Golf Drink Cart - Friday Golf Outing If you are a corporate partner, your partnership includes the following for the NGAI Annual Conference Eagle: Free Exhibit Fee, 4 Conf Registrations, 4 golf players, 4 for Business Lunch, 4 for Exhibitor Reception Patriot: Free Exhibit Fee, 3 Conf Registrations, 3 golf players, 3 for Business Lunch, 3 for Exhibitor Reception Minuteman: Free Exhibit Fee, 2 for Business Lunch, 2 for Exhibitor Reception Pathfinder: $150.00 Exhibit Fee, 1 for Business Lunch, 1 for Exhibitor Reception Volunteer: $250.00 Exhibit Fee, 1 for Business Lunch, 1 for Exhibitor Reception Non-Partner: $500.00 Exhibit Fee, 1 for Business Lunch, 1 for Exhibitor Reception Exhibit FeesMinuteman and above - FreePathfinder - $150Volunteer - $250Non-Corporate Partners - $500Please choose one from the drop down listAdditional Attendees - Exhibitor Reception Price: $50.00 Quantity: Additional Attendees - Business Lunch Price: $25.00 Quantity: The Exhibitor Reception will be held on Friday, April 20, 2018 in the Exhibit Hall from 5:30 to 7:30 PM (1730-1930). Every booth should be set up and have, at a minimum, one representative present for the event. Dress for the event is business casual attire. REQUIREMENTS: (All exhibit areas will be approximately 10 x 10 feet)Electrical Access*NoYesStandard Electric outletMy exhibit display is:* Table Top Floor If you will have both, please select both.My move in date is:Move Out Date:4-21-18 Exhibit Hall closes at 15:30; Tear down by 16:30. SUMMARY This is the total amount for your Exhibit Fees. We agree to abide by the following:The exhibitor assumes all responsibility for compliance with local, city and state ordinances and regulations covering fire, safety and health. It is mutually agreed that it is the duty and responsibility of each exhibitor to dismantle his/her exhibit immediately after the close of the exhibition. All property of the exhibitor remains under his custody and control in transit to and from the convention and while it is in the confines of the hotel. It shall be the responsibility of NGAI and each exhibitor, respectively, to secure its own insurance or otherwise protect its property against loss or damage. By submitting this electronic application, I am agreeing to abide by the terms above. Total $0.00 I WILL NEED NGAI TO SEND ME AN INVOICE FOR MY RECORDSYesNoCredit Card Billing Address Billing address same as above? Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name Please only hit SUBMIT once. It may take a moment to process your registration. Once your submission has been completed, you will be redirected to the Individual Conference Registration Form page to complete your conference registration.EmailThis field is for validation purposes and should be left unchanged.