"*" indicates required fields 2025 REGENERATE Exhibitor Intake FormNOTE: THIS FORM DOES NOT GUARANTEE YOU AN EXHIBITOR SPACE OR REGISTER YOU FOR THE REGENERATE CONFERENCE! Thank you for your interest in exhibiting at REGENERATE 2025! Please fill out this form so our event team has all the information we need to confirm your space and provide the benefits you need. After filling out this form, REGENERATE staff follow up to offer you a space and provide you with an invoice. After your invoice is paid, your spot will be reserved and we will extend registration and logistical details.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 requesting at the conference?* Standard Exhibitor Space ($800) Large Exhibitor Space ($1500) Community Table ($100) Note: we have a limited amount of Standard and Large footprint spaces available. Filling out this form does NOT guarantee an exhibitor space. The REGENERATE team will follow up to confirmWill 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
