ALDAcon 2018 SE Payment Form

ALDAcon 2019 Sponsor/Exhibitor Payment Form

This is for online credit card payment for sponsors/exhibits.

THIS FORM IS FOR ONLINE CREDIT CARD PAYMENTS ONLY.
Please refer to Sponsor/ Exhibit pdf information packet and fill out online application prior to making payment on this form. The amount shown in Grand Total is the amount that will be charged on your credit card.
Name of Agency, Business, Organization*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact's Name*
First Last
Phone*
Phone Type*
- Voice
- Cell
- VP
- FAX
For Sponsors Only
Please fill out and refer to the Sponsor Packet for information before filling out this form.
Amount of Monetary Sponsorship
Please fill in the amount that will be charged to your credit card only. Please list in-kind donations on the Sponsor Application Form, with the rest of your information.
For Exhibitors Only
Exhibit Tables
We wish to participate in the exhibits at ALDAcon 2019 and hereby book table(s) by September 1. (Fee includes badge and one Appreciation Luncheon ticket only.)
Extra table
Price: $100.00 Quantity:
Information Table Only
Price: $100.00 Quantity:
(100-200 copies)
Advertising Only
For ads in program book only.
Advertising (Program Book)
Prices are for black and white only, camera ready by September 1. (Ads for Program Book must be formatted to appropriate size dimensions or will be adjusted to match.)
DEADLINE SEPTEMBER 15
Not guaranteed to be in program book or exhibit space after this date. Send advertisements electronically to: Kathy Schlueter at this link Send e-mail, using the accepted formats of PDF, TIFF, or JPEG. Mail payment to ALDAcon 2019, 11038 N. Pleasant Hill Road, Dakota, IL 61018-9755 Credit card payments can be made below. We have read the regulations and agree to observe and be bound by them.
Authorized Person*
Date*
Date Format: MM slash DD slash YYYY
Payment
Grand Total
$0.00
This amount will be charged to your credit card by our preferred, secure, credit card processor, Stripe, when you fill out credit card information below.
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name

ALDAcon 2019 Sponsor/Exhibitor Payment Form

THIS FORM IS FOR ONLINE CREDIT CARD PAYMENTS ONLY.

For Sponsors Only

For Exhibitors Only

Advertising Only

DEADLINE SEPTEMBER 15

Payment

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