CAPPS Legislative Conference – Exhibitor and Non-Exhibiting Vendor Registration Form Date of Registration* CAPPS Membership Status*Select your current membership status. To become a Member, please visit https://www.cappsonline.org/capps-membership/ I am a CAPPS MemberI am a non-memberName of Company*Registration Type** Exhibitor registration includes two attendee badges and one 6' table top exhibit space. Space is limited to ten exhibitors. * Non-Exhibiting Vendor registration includes one attendee badge. * PLEASE NOTE: Only CAPPS Allied Members are eligible to exhibit. To become a CAPPS member, please visit https://www.cappsonline.org/capps-membership/ Exhibitor (CAPPS Members Only) - $830Non-Exhibiting Vendor (CAPPS Member) - $515Non-Exhibiting Vendor (Non-Member) - $690Additonal BadgesPurchase additional badges here. * Exhibitor registration includes two attendee badges * Non-Exhibiting Vendor registration includes one attendee badge. (If you are an Exhibitor and would like more than 2 badges, or if you are a Non-Exhibiting Vendor and would like more than 1 badge, select additional badges here.None Required1 Additional Badges +$4152 Additional Badges +$8303 Additional Badges +$1,245Exhibitors - please provide your company descriptionWho is the Primary Contact for this registration?Primary Contact's Name*Main point of contact for all CAPPS conference correspondence. First Last Is the Primary Contact attending the conference?*Yes, Primary Contact is attending the conferenceNo, Primary Contact is not attending the conferencePrimary Contact's Title*Primary Contact's Email* Primary Contact's Phone*Who is attending the conference?If the Primary Contact IS attending the conference, his/her details DO NOT need to be re-entered here.Name Attendee 2 First Last Title Attendee 2Email Attendee 2 Name Attendee 3 First Last Title Attendee 3Email Attendee 3 Name Attendee 4 First Last Title Attendee 4Email Attendee 4 Name Attendee 5 First Last Title Attendee 5Email Attendee 5 PAYMENTTotal Registration Fees Due $0.00 Method of Payment* Send Invoice Check in the Mail Pay by Credit Card Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name CAPPS Refund PolicyPayment & Refund Policy: All cancellations and substitutions must be submitted in writing to info@cappsonline.org ◊ Cancellations made prior to ten days of the event are refundable (less 20% processing fee) ◊ For cancellations made within ten (10) days of the event, no refund will be issued ◊ No refunds for missed days of the event ◊ If an attendee cannot attend, a complimentary transfer of registration will be granted up to 10 business days before the start of conference FOR EXHIBITORS: ◊ No refunds will be given within 30 days of the event date. ◊ Exhibit space will be assigned in the order registrations are received and payment is finalized.