Governor's Safety Conference 2023 Sponsor Registration

October 24-25, 2023 at Prairie Meadows Casino, Racetrack, & Hotel in Altoona, IA

Sponsor Registration

Sponsorship Options

Sponsorship Amount (If "Other Amount" indicated above)

Company/Organization

Contact Name

Phone Number

Address

My organization will be utilizing their complimentary exhibitor table .

We will need electric hookup for our table.

Vendor Representative 1

Vendor Representative 2

Complimentary Conference Attendees

Platinum Sponsor - 4 Complimentary Attendees
Gold Sponsor -2 Complimentary Attendees
Silver Sponsor -1 Complimentary Attendees

Complimentary Attendee 1

Complimentary Attendee 2

Complimentary Attendee 3

Complimentary Attendee 4

Coupon Code (For Administrative Purposes Only)

Total

$5,000.00

Name

Credit Card

Address

Mobile Phone Number