Heart of America Eye Care Congress
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2019 HOAECC Exhibitor Registration

  These fields are required.

Step 1 Exhibitor Information

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Company
Please provide the Exhibiting company's name, contact information and company description. This information will be publicly available at the Heart of America Virtual Exhibit Hall and will be available on the Heart Congress App.
Company Name:
Address:
Address2:
City:
State:
Zip:
Phone:
Fax:
Web Site:
Company Description:
 

Registration Contact
Please provide the name and email address of the person responsible for registering and paying booth fees. 
First Name:
Last Name:
Title:
Email:
 

Virtual Exhibit Hall Contact
Please provide name(s) and email address(es) of the person(s) who will be representing your company at the Heart of America Congress. The name and email address of the first person listed will be publicly available on the Heart of America Virtual Exhibit Hall and on the Heart Congress App. Heart of America Exhibits Directors will directly email the first Virtual Exhibit contacts listed for their success and comfort exhibiting at the Heart.  
  Copy Registration Contact Information
First Name:
Last Name:
Title:
Email:
 
  Click to add more Virtual Exhibit Hall Contacts
 
 

Second Virtual Exhibit Hall Contact
First Name:
Last Name:
Title:
Email:
 
 

Third Virtual Exhibit Hall Contact
First Name:
Last Name:
Title:
Email:

Step 2 Registration Information


Booth Fees:
Before January 1, 2019: $2,000.00
On or After January 1, 2019: $2,200.00
There will be no refund issued for cancellations after January 1, 2019
Booth Count: ($2,200.00/Booth)

Booth assignment is highly competitive. Booth assignments will be based upon:

  1. 1. Booth deposit paid by August 15
  2. 2. Level of sponsorship to the Heart Public & Professional Relations.
  3. 3. Loyalty/Longevity of exhibiting at the HOAECC Congress.
  4. 4. Date of receipt of booth deposit.

Click here to view the Convention Hall Floor Plan (pop-up window)

Click here to view the Interactive Virtual Exhibit Hall
 
Booth Preference 1:
Booth Preference 2:
Booth Preference 3:
Booth Preference 4:
Booth Preference 5:
Comments:
 
Five Exhibitor Badges are included in the price of each Exhibitor booth. Additional badges can be purchased for $50.00 each. If you will need additional badges please indicate how many you require below:
 
Additional Badge Count: ($50.00/Extra Badge)
 

Stuffers for Registration Packets

  1. Stuffers must arrive by Friday, February 8, 2019 in order to be included in the registration envelope.   The Early Bird Fee is $400.00 and the check must accompany the flyers.
  2. Stuffers arriving between February 9 and February 12 cannot be included in the envelopes, but will be placed in the bags given to registrants. The Late Fee is $800.00 to place these.

MAIL ABOVE TO:
HOAECC
C/O Sharon Green
663 E 1300 Road
Lawrence, KS  66046

  1. Stuffers that cannot be delivered to the above address by February 13 must be sent directly to the Hotel.  Those arriving on February 15 or later will be placed at the Registration Desk for registrants to take as they go through the line. They should include a check for the $800.00 late fee and be mailed to:

Sharon Green – HOAECC Registration
c/o Sheraton Crown Center
2345 McGee St
Kansas City, MO. 64108

Checks should be made out to the HOAECC for the appropriate amount.

PLEASE NOTE: Items sent to the Hotel should be timed to arrive no sooner than three days in advance as the hotel reserves the right to charge you a storage fee for longer periods of time.

If you want to purchase a Packet Stuffer, please indicate how many you require below:
 
Packet Stuffers: ($800.00/Packet Stuffer)
 

HOLD HARMLESS CLAUSE: The exhibitor assumes the entire responsibility and liability for losses, damages, and claims arriving out of injury or damage to exhibitor's displays, equipment, and other property brought upon the premises of the hotel and shall indemnify and hold harmless the hotel agents, servants, employees, and Heart of America Eye Care Congress members and Board of Directors from any and all such losses, damages, and claims. Submission this form and payment for your booth space indicates agreement with the terms of the Hold Harmless Clause.

  

Step 3 Sponsorship Opportunities

I would like to be contacted regarding additional sponsorship opportunities.

Step 4 Payment Information

  Count/Level Fee Total
Booths 0 $2,200.00 $0.00
Extra Badges 0 $50.00 $0.00
Packet Stuffers 0 $800.00 $0.00
Sponsorship None $0.00 $0.00
Total $0.00

Select Method of Payment

 Credit Card
Name on Card (first/last):
Card Number: (Please do not enter spaces or dashes.)
Visa/Mastercard Accepted
3-4 Digit Validation Number:
Expiration: /
Online Payments

 Check

Send to:
Steve Sloan OD
HOAECC - Exhibits Director
1723 Carriage Hill Court
Dubuque, Iowa 52003
exhibits3@hoaecc.org

Make check payable to: HOAECC

 Other
If you wish to make other arrangements for payment than are available here, select this option and use the contact information above to work out the details.
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