2023 Regenerate Exhibitor Intake Form "*" indicates required fields Primary Point of Contact name* First Last Who should we contact for any follow up details regarding the exhibitor table?Primary Point of Contact email* Primary Point of Contact Phone number* What exhibitor package are you registering for at the conference?* Exhibitor, NO electrical outlet ($750) Community table ($100) If you are a nonprofit seeking a nonprofit rate, or if you are a conference sponsor, please contact Sam Hinkle at [email protected]If you selected Community Table, please describe what materials you plan to send and how you plan to send them to the Regenerate partners (digitally, by mail, etc).Acknowledgement at the ConferenceYou can have your organization/business acknowledged in conference materials. Exhibitor Table Name* Please write the name of your organization/business, as you would like it to appear in the conference program.Will you need access to an electrical outlet ($50 additional charge)?*YesNoExhibitor Logo Drop files here or Select files Accepted file types: jpg, gif, png, pdf, tif, Max. file size: 10 MB, Max. files: 2. Please submit an image in one of the following file types: jpg, gif, png, pdf, tif. You can upload 2 images that are up to 10 MB in size, each.To help us better understand your organization/business, please tell us about yourself and what you bring to the community.*Website Social Media LinksPlease add your organization/business Facebook link, Twitter handle, or Instagram link, if applicable.Do you have any other questions or comments regarding your participation as an exhibitor? Δ
