Governor's Safety Conference 2026 Sponsorship Registration

October 27-28, 2026 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

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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

Diamond Sponsor- 6 Complimentary 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

Complimentary Attendee 5

Complimentary Attendee 6

Coupon Code (For Administrative Purposes Only)

Total

$5,000.00

Billing Information

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Name

Credit CardSecure Payment

Address

Mobile Phone Number

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