Sleep Professionals of Arkansas

Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Staff 1

First Name

Last Name

Is Staff 1 CE?

Yes

No

Staff 2

First Name

Last Name

Is Staff 2 CE?

Yes

No

Support Level *

PLATINUM includes 2 tables, recognition on rotating slides, printed level recognition, premium exhibitor hall location.
GOLD includes 1 table, recognition on rotating slide, printed level recognition.
SILVER includes 1 table, printed level recognition.
EXHIBIT ONLY includes 1 table

PLATINUM $2000

GOLD $1500

SILVER $1000

EXHIBIT ONLY $600

UNRESTRICTED SUPPORT (please insert amount below)

We will need electricity *

Yes

No

We understand that signs, banners or decorations are not allowed in the aisles and exhibits may not obstruct the view of neighboring exhibits. *

I Understand