2024 Regenerate Exhibitor Intake Form "*" indicates required fields Exhibitor intake formOF NOTE: THIS FORM DOES NOT REGISTER YOU FOR REGENERATE! Thank you for your interest in exhibiting at Regenerate 2024! Please fill out this form so our event team can provide the benefits you need. After filling out this form, Regenerate staff will invite you to register, where we will collect payment and ensure your access to the conference. We need to run two forms (this intake and registration) as they go to two separate teams for different purposes - thank you for your understanding! 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* Phone*What exhibitor package are you registering for at the conference?* Exhibitor, (not including electrical outlet) ($800) Community table ($100) Large footprint exhibitor space (Sam will follow up with pricing) If you require a footprint larger than a standard table space (eight-to-ten feet wide) please select the "Large footprint" option. Sam will follow up, get a better sense of your needs, and negotiate a price. If you are a nonprofit seeking a nonprofit rate, please contact Sam Hinkle at sam@quiviracoalition.orgWill you need access to an electrical outlet ($50 additional charge)?*YesNoIf 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.Exhibitor 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
