Exhibitor/Sponsor Application - 2024 NWA Annual Education and Training Conference

Thank you for your interest in participating as an exhibitor and/or sponsor at our 2024 NWA Annual Education and Training Conference: WIC's 50th: A Retro Revival!

This conference will be a great opportunity for you to meet and build relationships with existing WIC clients and generate new leads leading to connections at the state, local, tribal, and local agency level. Among the over 1000 WIC community members who are expected to attend this conference are key decision makers representing the US Department of Agriculture, the 89 state and ITO WIC agencies, and over 2,200 local WIC agencies from across the nation.

Please note: This conference will be held in-person only and there will be a conference app. When completing this form, please have the Exhibitor/Sponsor Prospectus on hand.

Before submitting the form, you will be able to go back and edit your answers. Please use the arrow buttons within the form to move back and forth rather than the browser arrows. If you are unable to complete this form in a single sitting, you may save it and return to the form later and your answers will be saved. The "save and continue" button will appear on a toolbar once you begin the survey.

Once you have submitted the form, you cannot return to it to make changes. Please contact the Exhibits Manager at exhibits@nwica.org with updates.

Upon completion of this form, it may take 1-2 hours to receive your confirmation email. If you do not receive it, please check your junk email and, if you still cannot find it, please reach out to us.

We look forward to seeing you in Chicago, IL!

1. Company Name (Company information as it should appear on the mobile app and the NWA website.) *This question is required.

Does your company want to join as a Partner now to get partner rates? (Click here to open a new tab to learn more about partnership benefits and tiers). *This question is required.

At which level would you like to join? *This question is required.

How many employees work for your company? This determines your partner rate. *This question is required.

3. Primary Company Contact for Exhibit/Sponsorship Information *This question is required.

First Name

Last Name

Title

Company Street Address

City

State

Zip

Email Address

Phone Number

Company Website

4. Will you be reserving/purchasing a booth? *This question is required.

Select Booth Option (BCP) *This question is required.

Select Booth Option (Supporting Partner) *This question is required.

Select Booth Option (Associate Partner) *This question is required.

Select Booth Option (Non-Profit/Small Business) *This question is required.

Select Booth Option (Non-Partner Rates).

As a reminder, joining as a partner allows access to discounted rates. Learn more. (Clicking the link will open a new window) *This question is required.

Preferred Exhibit Booth Location. See floorplan in the Exhibitor/Sponsor Prospectus. All other exhibit booths are awarded on a first-come, first-served basis. All opportunities remain available until completed applications and payments are received by the Conference Manager/NWA.

NOTE: Please choose booth numbers that align with the booth/sponsorship type you are ordering. See map for details. *This question is required.

1st Choice
2nd Choice
3rd Choice

We do not wish to be next to or across from the company(ies) listed below. Please note that the exhibit booths purchased prior to your request will not be relocated.

Company 1
Company 2

Onsite Exhibitor Booth Representatives (The 1st 2 are complementary for all booths and $200 for additional exhibit hall floor badges. Please note that the # of complimentary badges varies based on booth type). Exhibitors may have a maximum of 4 exhibit hall floor badges.

Space Cell	Full Name	Title	Email	Cell phone
Representative 1 (included)	Representative 1 (included): Full Name	Representative 1 (included): Title	Representative 1 (included): Email	Representative 1 (included): Cell phone
Representative 2 (included)	Representative 2 (included): Full Name	Representative 2 (included): Title	Representative 2 (included): Email	Representative 2 (included): Cell phone
Representative 3 ($200 additional, complimentary for Diamond, Gold and Platinum Sponsor booths)	Representative 3 ($200 additional, complimentary for Diamond, Gold and Platinum Sponsor booths): Full Name	Representative 3 ($200 additional, complimentary for Diamond, Gold and Platinum Sponsor booths): Title	Representative 3 ($200 additional, complimentary for Diamond, Gold and Platinum Sponsor booths): Email	Representative 3 ($200 additional, complimentary for Diamond, Gold and Platinum Sponsor booths): Cell phone
Representative 4 ($200 additional, complimentary for Diamond, Gold and Platinum Sponsor booths)	Representative 4 ($200 additional, complimentary for Diamond, Gold and Platinum Sponsor booths) : Full Name	Representative 4 ($200 additional, complimentary for Diamond, Gold and Platinum Sponsor booths) : Title	Representative 4 ($200 additional, complimentary for Diamond, Gold and Platinum Sponsor booths) : Email	Representative 4 ($200 additional, complimentary for Diamond, Gold and Platinum Sponsor booths) : Cell phone

5. Sponsorship Items (booth purchase not required). (Please click all that apply)

If you purchased a booth, some of these items may be included already in your package. Please refer to the Exhibitor/Sponsor Prospectus for details.

6. Please review your order and enter the anticipated total amount due below. Once the order is submitted and processed, you will receive an itemized invoice within the next 2 weeks. If you have any questions or need to make changes to your order, please email exhibits@nwica.org.

Depending on the date you are submitting this form, NWA can prorate dues if you are joining as a partner as a part of this process. *This question is required.

7. Please sign below to certify that you have read and fully understand the terms and Exhibit Rules and Regulations for the 2024 NWA Annual Education and Training Conference. See Exhibitor Prospectus for details. *This question is required.

Clear

Signature of