SD Dental Org
South Dakota Dental Association
May 12-13, 2016
Exhibitor Show
 
Use this form to register your company for a vendor booth. Please note that you must pay by credit card when using this form.  

If you are a nonprofit organization please do not use this form. Contact Brenda at the Association office at (605) 224-9133 or at brenda.goeden@sddental.org.  
Fields marked with * are mandatory  

Company/Organization:*
Type of Exhibit:*
Address:*
City State and Zip:*    
Phone:*
Fax:
Contact Person:*   
Email Address:*

Booth Selection: Please examine the booth layout provided HERE  for available booths and to ensure that the booth(s) you select is still available. In the event of duplicate selection of the same booth(s), preference will be given based on exhibitor longevity with the SDDA.
Does your booth need electricity?*
1st Choice:
2nd Choice:
3rd Choice:
4th Choice:
5th Choice:

Please list the names of individuals staffing your booth(s). Only persons listed at the registration desk and wearing an SDDA name badge will be allowed in the exhibit hall.
 
On-site Main Contact Name:*   
Mailing Address:*
City, State and Zip:*      
Phone:*
E-mail Address:*
   
2nd Staff member:     
3rd Staff member:    
4th Staff member:    
5th Staff member:    
6th Staff member:    
 
EXHIBIT BOOTH SPACE
In the spaces below enter the quanity needed then click the Calculate Total Due button. You will be able to review your totals and all your details before you make payment.
Quantity Item
$550.00 for first booth ($650 after March 31, 2016)
$450.00 for each addional booth ($550 after March 31, 2016)
$20.00 per extra table (1st table is complimentary)
$50.00 for 1/2 page ad in Program Book
$100.00 for full page ad in Program Book
$500.00 coffee/break sponsorship
$10.00 each for Thursday Exhibit Hall lunch ticket
$10.00 each for Friday Exhibit Hall lunch ticket
$30.00 each for Friday night Mixer ticket
$270.00 table for 10 at Friday night Mixer

Total Due    
   
  You can make updates and changes after you click the Calculate Total Due button.
 
 
Once you click this button you will be taken to the payment form. After you have paid you will be able to print out a confirmation form with all of this information.
 
   
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