Thanks for registration as a vendor at the 2018 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:

7:00pm – 8:00am on Wednesday, March 14th

Booth Cost:

Registration: Reservations made by Friday, March 9th – $100

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

Extra Lunch Tickets: Submit $10 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 / Phone / Email




NOTE: To Register as BOTH a Vendor AND to add a LUNCH option, first add your Registration Fee to Cart “Add to Cart”, then come to BACK to this page and add LUNCH. Then you can proceed with your PayPal.com checkout.

 

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