Illinois LICA's 2022 Annual Convention & Members' Meeting: Exhibitor Contract & Sponsorship Form

Company Name (as you would like it to appear on identification sign)

Contact Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Payment method:

Will you be exhibiting at the 2027 ILICA Convention?

Please choose your exhibit space size:

Will you need access to an electrical outlet?

Preferred exhibit booth locations:
1st Choice:
2nd Choice:
3rd Choice: Type a label

How many additional attendees (more than the allowed representatives per day listed above) will be attending? *

Please list ALL company representative names and day(s) they are attending

Additional representative #1:

Additional representative #2:

Additional representative #3:

Additional representative #4:

Additional representative #5:

Additional representative #6:

Will you be sponsoring the 2027 ILICA Convention & Members' Meeting?

Please review the available sponsorship levels and click on your selection below.

Sponsorship Level:

Other sponsorship amount:

Komatsu plant tour ($50): January 14, 8am - 12pm

Silent auction items & door prize giveaways are also greatly appreciated for the event. Please indicate below if you will be providing such prizes:

Please mail a check with the total amount shown below to 112 Exchange St., Suite 2, Galva, IL 61434

Total

Please enter the address you wish to have the invoice sent to:

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Please enter the email you wish to have the invoice sent to:

example@example.com

Calculation

USD4% convenience fee included

ILICA's 2027 Annual Convention: Exhibitor Contract & Sponsorship Form