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Return form to [email protected] or FAX (404) 795-9105
Questions? Call (614) 859-2223, email [email protected], www.ohioacc.org
Lead Representative
Company:
Lead Rep Name:
Email:
Cell: Email: Cell:
Address:
City: State: ZIP Code:
Additional Representatives
Name: E-mail: Cell:
Name: E-mail: Cell:
Name: E-mail: Cell:
Participation Selection (Sponsorships are based on availability)
Payment Information
TOTAL $_________________
Checks should be made payable to Ohio Chapter-ACC. Federal Tax ID #31-1315856. Mail to: 440 Laurel Chase Ct NW, Atlanta, GA 30327
Agreement
❏We understand that all exhibit displays must be prepaid in full. In the event that we cancel our exhibit, we understand that we are still obligated to
I have read and agree to the terms stated:
Signature ________________________________________________________ Date_____________________
Saturday, October 24, 2020 Ohio-ACC Exhibitor Reply Form: Virtual Annual Meeting
❏Gold $2500
❏Silver $1500
❏Exhibitor $600
the full cost of the exhibit display.
❏Platinum $3500 �❏Industry Expert Webinar Session $3500 (only with paid Platinum sponsorship)