Questions regarding this form?: Click Here

First Name (required):

Last Name (required):

Business Name:

Address 1 (required):

Address 2:

City (required):

State (required):

Zip Code (required):

Email Address (required):

Phone#:

Cell# (for contact during Expo):

Website:

You will receive an invoice under seperate cover for your advertising choices

Program Booklet

Full Page Ad - $145 
Full Page Ad/Back Cover - $200 
Full Page Ad/Inside Back Cover - $175 
Full Page Ad/Inside Front Cover - $175 
Half Page Ad - $80 
Quarter Page Ad - $40 

Grab Bag Items?:

Advertising Literature 
Coupons 
Promo Items 
Samples 

Description of your product or services advertised:

Additional comments:

Upload your ad (files submitted can be no larger than 500kb and must be in one of the following formats: jpg, png, or pdf):

Other Sign-Ups:  Speaker Vendor Prize Donation
Please indicate if you will be also signing up as a speaker, vendor, or donating prizes. This just allows us to link all your signups together. You must still fill out the appropriate sign-up form.

Agreement:
By clicking the checkbox above, I/We agree to participate as outlined above. (clicking this box serves as your signature)

Subject (do not modify this field PLEASE)

Questions regarding this form?: Click Here

First Name (required):

Last Name (required):

Business Name:

Address 1 (required):

Address 2:

City (required):

State (required):

Zip Code (required):

Email Address (required):

Phone#:

Cell# (for contact during Expo):

Website:

Prize 1 Offered:

Prize 2 Offered:

Prize 3 Offered:

Prize 4 Offered:

Prize 5 Offered:

Prize 6 Offered:

Additional comments:

Other Sign-Ups:  Speaker Vendor Advertiser
Please indicate if you will be also signing up as a speaker, vendor, or advertiser. This just allows us to link all your signups together. You must still fill out the appropriate sign-up form.

Agreement:
By clicking the checkbox above, I/We agree to participate as outlined above. (Clicking this box serves as your signature)

For administrative use only:

(do not modify this field PLEASE)

Questions regarding this form?: Click Here

First Name (required):

Last Name (required):

Business Name:

Address 1 (required):

Address 2:

City (required):

State (required):

Zip Code (required):

Email Address (required):

Phone#:

Cell# (for contact during Expo):

Website:

You will receive an invoice under seperate cover for your booth rental choices

Booths:
Booths are $200 ea.

Number of Booths Required: ---123456

Electricity Required?  Yes
This assists us with booth placement/location. Electrical services MUST be arranged for in advance with the host hotel as there is a fee for electricity use.

Description of your product or services advertised:

Additional comments:

Other Sign-Ups:  Speaker Advertiser Prize Donation
Please indicate if you will be also signing up as a speaker, advertiser, or donating prizes. This just allows us to link all your signups together. You must still fill out the appropriate sign-up form.

Agreement:
By clicking the checkbox above, I/We agree to participate as outlined above. (Clicking this box serves as your signature)

For administrative use only:

(do not modify this field PLEASE)

Questions regarding this form?: Click Here

First Name (required):

Last Name (required):

Business Name:

Address 1 (required):

Address 2:

City (required):

State (required):

Zip Code (required):

Email Address (required):

Phone#:

Cell# (for contact during Expo):

Website:

Session Title:

Target Audience (check all that apply):  Adults Teens 8-12 Years 5-7 Years Family

Short Description:

The above will appear in the Expo program booklet and on CHN's Expo website. (we may edit for space and clarity) Your short description should NOT exceed 500 characters.

Long Description:

If you would like to provide additional information on your session for review by the Speaker Committee, please do so in this area, with no space/character limitation

Room Needs & A/V (check all that apply):

 N/A
 Complete computer/projector setup
 Microphone & Speakers
 Speaker Table
 White Board

We will try to accommodate everyone, but we kindly ask that if you can conduct your presentation without the use of A/V equipment that you do not select any of the A/V options and simply select "N/A".

Regarding the "Speaker Table": Speakers may use the speaker table for up to one hour immediately following their session to answer questions, continue conversations, display and sell goods, etc. Speaker table may be shared by two speakers in order to accommodate all requests.

If A/V equipment is required for your presentation, please note that we will provide all the required equipment (computers, speakers, and a complete projector setup) for this purpose. No outside equipment including laptops can be accommodated. (we thank you in advance for your understanding with regards to this restriction) We also ask that you please submit your presentation file in electronic format no later than 1 week before the Expo.

Availability (check all that apply):  Friday Saturday Sunday
We will try to accommodate your needs. The more available you are the easier it is to schedule everyone.

Based on your availability options selected above, please select your session scheduling options.

Session Scheduling (check all that apply):

 One session only
 Multiple sessions over more than one day
 Multiple sessions on a single day

Again we will try to accommodate your needs. The more available you are the easier it is to schedule everyone.

Additional Comments/Requests:

Upload your headshot (files submitted can be no larger than 500kb and must be in one of the following formats: jpg, or png):

Upload your bio (files submitted can be no larger than 500kb and must be in one of the following formats: rtf, doc, or docx):

Other Sign-Ups:  Vendor Advertiser Prize Donation
Please indicate if you will be also signing up as a vendor, advertiser, or donating prizes. This just allows us to link all your signups together. You must still fill out the appropriate sign-up form.

Agreement:
By clicking the checkbox above, I/We agree to participate as outlined above. (Clicking this box serves as your signature)

For administrative use only:

(do not modify this field PLEASE)