Exhibitors for the Public Health Conference for Utah





	Sponsors

ONLINE CONFERENCE EXHIBIT APPLICATION

Instructions: Fill in the information for each field below, then click on the Submit button at the bottom to send your information to the Conference Planner. All information in RED with an asterisk ( * ) is Required Information

*Company Name:

*Street Address:
(Street, City, State, Zip)

*Contact Name:

*Telephone Number:

Do you need access to
an electrical outlet?

Yes
No

A eight foot draped table and 2 chairs will be provided for each exhibit. Exhibitors are responsible for providing all audio/visual equipment they may need and extension cords.

Level of Support:

	Platinum Partner/Exhibitor = $1,000
	- Four complimentary conference registrations
	Gold Partner/Exhibitor = $600
	- Two complimentary conference registrations
	Silver Partner/Exhibitor = $350
	- One complimentary conference registration
	Bronze Partner/Exhibitor = $100
	- Meals for one person

Will you be exhibiting?

Yes
No

Number of additional
meals ($60 per person)

Send payment to and make check payable to:
Utah Public Health Association, PO Box 16048, SLC, UT 84116

If you have questions about exhibiting at this conference, please contact our Exhibitor Coordinator
Audrey Stevenson, UPHA, PO Box 16048, SLC, UT 84116 - [Phone: 801-468-2756 or Fax: 801-468-2737

This Conference is an annual event planned by the major public health organizations in the state, including the:
Utah Public Health Association, Health Education Association of Utah and the Utah Environmental Health Association

If you have questions about this conference, please contact the Conference Committee Co-Chairs:
Brian Bennion [ bbennion@slco.org ] ~ 801-468-2726 or Lynne Nilson [ lpnilson@utah.gov ] ~ 801-538-7049

If you have questions or comments about this website, please contact the Conference Webmaster
[ pwightma@utah.gov ] ~ (801) 538-6335