Thanks for your registration to register as a vendor at the 2020 AGS Spring Conference! You can fill out the forms below to register your booth and organization. Or if you prefer, you can Download our Vendor Form, fill out the form, and mail it in. Instructions are on the form.


Booth Set-Up:

April 8th at 7:00am

Booth Cost:

Registration:  $150 for both days

Booth Registration Includes: 1 table, 2 chairs and 1 meal ticket

Extra Lunch Tickets: Submit $10.00 per each extra luncheon ticket with payment for booth.

(NOTE: Please indicate a decline of any meal tickets not necessary to help with planning and costs).

Payment

Paypal is available below or make checks payable to Arkansas Gerontological Society or AGS and mail this completed form and check to:

AGS
P.O. Box 2371
Little Rock, AR 72203

– – – You may utilize our Tax ID# 26-2231918 – – –

Step 1: Register as an Vendor

Organization (required)

Contact Person (required)

Street Address (required)

City (required)

State (required)

Zip (required)

Office Phone Number

Fax Number

Mobile Phone

Email (required)

Will you be donating a door prize?
YesNo

Description of door prize if available

Will you be donating a silent auction item?
Please consider as 100% of the proceeds go to sponsor our scholarship program for future conferences.
YesNo

Description of silent auction item if available

Electrical outlet needed?
YesNo


 

After clicking “SEND” above, complete STEP 2 below:

 

 

Step 2: Pay for Registration via Paypal


Vendor Registration
Your Name
Your Phone / Your Email



NOTE: To Register as BOTH a Vendor AND to get EXTRA LUNCH TICKETS, first select the Vendor Registration Fee (be sure to fill in your name, phone and email in boxes) and then clicking “Add to Cart”, and then after successfully getting your Paypal page, simply return this page by clicking BACK button in your Browser, and then selecting the option in the dropdown menu to add “Extra Lunch Ticket(s) – $10 each”. Then click “Add to Cart” again and proceed with your PayPal.com checkout.

 

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