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2025 Conference Sponsor/Exhibitor Registration

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2025 Conference Sponsor/Exhibitor Registration Form

We’re delighted to have you join us for this year’s conference. Your support is instrumental in making this event a meaningful experience for all attendees, and we want to ensure that this process is as smooth and straightforward as possible.

To get started, please complete the Sponsorship Registration Form below.

If you have any questions along the way, please contact Linda Locke at llocke@cord.org or call 254-741-8334.
We’re here to assist and make your experience exceptional!

2025 Sponsor-Exhibitor Registration

Sponsor/Exhibitor Registration

Name *

Name

First

Last

Company/Organization *

Address *

Address

Street Address

Suite#

City

State/Province

Zip/Postal

Email *

Confirm Email *

Phone *

Corporate Website/URL *

Sponsorship Level *

Platinum $10,000

Gold $5,000

Silver $3,000

Bronze $1,750

Conference Program Description *

0 of 50 max words

Exhibit Information

Exhibit Booth

I want an exhibit booth

I do not want an exhibit booth

Primary Contact for Exhibit *

This designee will be the sole point of contact for all exhibit-related communications.

Exhibit Contact Email *

Confirm Exhibit Contact Email *

Exhibit Contact Phone Number *

Company Name for Booth Sign *

Booths are assigned on a first-come first-served basis. Please provide your first TWO choices. Exhibit Hall Floor Plan

First Choice:

Second Choice:

Additional Booth Staff:

Additional Booth Staff: $100.00

Number of additional booth staff ( enter zero if none)

Names of additional booth staff. You have the option to provide names at a later date.

I acknowledge that access for additional booth staff will be limited to exhibit hall functions. *

Yes

Terms and Conditions *

I have read and agree to the Terms and Conditions of exhibiting.

Payment

Total Amount Due

$10,000.00

Payment Method:

Check

Request Invoice

Purchase Order

Credit Card Payment

Mail your check to NCPN Connect 2025 Registration, PO Box 21689, Waco, TX 76702-1689. Your registration will be flagged as "not paid" until we receive your check in the mail. Checks must be received within 30 days of registering or your registration will be canceled.

The invoice will be sent to the designated billing contact provided below. If no billing contact is specified, the invoice will be sent to the person completing this form.

Contact Information

Primary Contact Name *

Primary Contact Title *

Primary Contact Email *

Confirm Primary Contact Email *

Primary Contact Phone *

If paying by Purchase Order email your purchase order to Linda Locke at llocke@cord.org within 10 business days of submitting this form. If the purchase order is not received within 10 business days your registration will be canceled.

First name on credit card: *

Last name on credit card: *

Address for credit card: *

Address for credit card:

Street Address

Suite#

City

State/Province

Zip/Postal

Credit Card Number: *

If you are human, leave this field blank.

NCPN is a project of CORD
Center for Occupational Research and Development.

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