Richmond Chapter of the American Payroll Association

VIRGINIA STATEWIDE PAYROLL CONFERENCE
EXHIBITOR REGISTRATION FORM
OCTOBER 16 & 17, 2008

All Exhibitor registrations include continental breakfast and lunch on Thursday.

Attendee lists and tickets for the Thursday evening social event for two representatives are included in the Grand Slam and Home Run Exhibitor levels. The other exhibitor types may purchase a list of attendees for $75 and tickets to the social event for $75.

You should have sufficient time to set up on Thursday. Those vendors staying for the Thursday evening social may want to spend the night. Hotel accommodations are the responsibility of the exhibiting company. Click here if you need to make a reservation. Use Group Code : PAYPAYA (all alpha) for non government rate and PAGPAGA (all alpha) for government rate.

*Indicates required field.

Representative 1:*

First Name

Last Name

Representative 2:

First Name

Last Name

Company Name:*

Address:*

Address(2):

City, State, ZIP:*

Daytime Phone:*

Representative 1's E-mail:*

Website Address:

Please indicate the sponsorship level of your presentation:
     Grand Slam ($1000) (Attendee list and two tickets to Social Event included.)
     Home Run ($750) (Attendee list and two tickets to Social Event included.)
     Triple ($500)
     Double ($300)
     Single ($150) - Breakfast Tent Card Acknowledgment
     Single ($150) - Lunch Tent Card Acknowledgment
     Single ($150) - Break Tent Card Acknowledgment
     Single ($150) - Thursday Night Social Tent Card Acknowledgment

Rep 1:

Rep 2:

Do you want to purchase the attendee list? (Notice: The attendee list is free to "Grand Slam" and "Home Run" level sponsors; $75 for others.)
Yes
No

Would you prefer to pay in full today, or make a 50% downpayment?
     In Full (Payment due by August 8, 2008.)
     50% Down Payment (This option not available after May 2, 2008.
        Balance due by August 8, 2008.)

Will you be bringing any additional representatives with you who will want to attend the breakfast, lunch, or social events? ( Additional Representative fees (each): Breakfast = $16, Lunch = $29, Social = $75)

VIRGINIA STATEWIDE PAYROLL CONFERENCE EXHIBITOR REGISTRATION FORM OCTOBER 16 & 17, 2008

VIRGINIA STATEWIDE PAYROLL CONFERENCE
EXHIBITOR REGISTRATION FORM
OCTOBER 16 & 17, 2008