WHSA Exhibitor Application 2024 2024 WHSA Annual Conference Exhibition Form Company/Association Info:Company/Association Name (as you would like it to appear on your sign):* Company/Association Address: Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneWebsite Company/Association LogoAccepted file types: jpg, jpeg, png, gif.Company/Association description that will appear in program:Attending Representative:* First Last Email Title Exhibition Booth Information:Please identify as one of the following:*Corporate/Large business - $800Small Business - $300Non-Profit with sales - $200Non-Profit without sales - $150Your fee covers one standard exhibition booth including one table, back/side drapes, signs and lunch for 1 attending representative during both exhibition days.Number of additional booths requested:*No additional booths necessary - $01 additional booth (2 total) - $6002 additional booths (3 total - max) - $1,200Each order comes with 1 booth included. Please let us know if you would prefer additional space at a discounted rate. Number of additional booths requested:*No additional booths necessary - $01 additional booth (2 total - max) - $200Each order comes with 1 booth included. Please let us know if you would prefer additional space at a discounted rate. Do you require any additional tables?*No additional tables - $01 additional table (2 total) - $302 additional tables (3 total) - $603 additional tables (4 total - max) - $90One 8 foot skirted table is provided per booth; additional skirted tables will be provided at a cost of $30.00 each.Do you require electricity to be ran to your booth?*No, we do not need electricity - $0Yes, we need electricity - $97.50110v outlet at a cost of $97.50 per outlet Do you require additional lunches on day 1?*No extra lunches needed - $01 additional lunch (2 total) - $102 additional lunch (3 total) - $203 additional lunch (4 total) - $30One lunch is included per day.Do you require additional lunches on day 2?*No extra lunches - $01 additional lunch (2 total) - $102 additional lunch (3 total) - $203 additional lunch (4 total) - $30One lunch is included per day.Total $0.00 Total amount will be on your confirmation emailSubmission Confirmation & InvoicingNOTE: After submitting you will receive an emailed registration confirmation. This email will contain all your registration details. PhoneThis field is for validation purposes and should be left unchanged.