Exhibitor Registration

I want to Reserve Exhibit Space(s)*
- Yes
- No
Choose YES if you want to reserve exhibit space(s) and complete the application that follows.
Exhibitor Registration
2019 Annual Joint Conference, WV-AWWA/WEA Canaan Valley Resort, Davis, WV

Submit Payment to:
WV-AWWA Attn: Christina Chard
1600 Pennsylvania Avenue
Charleston, WV 25302
Name of Company, Firm, etc.
Representative Name 1*
First Last
Representative Name 2
First Last
Are any more Representatives Needed to Be Added
- Yes
- No
Other Representatives
Separate Full Names with a "," or ";" ex.
Adam Anderson, Ben Brody, Catherine Coalson,
or
Adam Anderson; Ben Brody; Catherine Coalson;
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Nature of Business
Spouse(s) Name(s) if attending
Separate Full Names with a "," or ";" ex.
Adam Anderson, Ben Brody, Catherine Coalson,
or
Adam Anderson; Ben Brody; Catherine Coalson;
Number attending Sunday picnic
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Booth Registration (Includes 2 Full Conference Registrations)
Price: $550.00
Registration By 5/2/19 is $500, after 5/2/19 will be $550

*Full conference registration includes breakfast & lunch on Monday and Tuesday and banquet Tuesday.
Additional Representative (Exhibit Hall Only)
Price: $75.00
Registration By 5/2/19 is $75, after 5/2/19 will be $75
Additional Booth Space (Exhibit Table Only)
Price: $300.00
Registration By 5/2/19 is $300, after 5/2/19 will be $350
Spouse/Guest Banquet Ticket
Price: $35.00
Registration By 5/2/19 is $35, after 5/2/19 will be $40
One day lunch only - Monday
Price: $30.00
Registration By 5/2/19 is $30, after 5/2/19 will be $35
One day lunch only -Tuesday
Price: $30.00
Registration By 5/2/19 is $30, after 5/2/19 will be $35
Total for Exhibitor Hall
$0.00
I would like to donate banquet ticket(s) to Award/Scholarship winners and their guests.
- Yes
- No
How many banquet ticket
Price: $35.00
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Contact Larry Bonar at (304)845-4360 with any questions.
Do you need electrical power?
- Yes
- No
Floor plan preference, Table #

*Does not guarantee selection, first come, first serve basis. Layout is subject to change.
*Please review the guidelines located on page 5 of the 2018 Joint Conference Registration Packet.
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
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Exhibitor Registration

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