Expo Registration

2017 Annual Northeast Debt Collection Conference
September 17-19, 2017

SPONSORSHIP REGISTRATION FORM
Please note deadlines for hotel reservations, and event registration.

To register, please make your payment first by using the Paypal button below.
After completing the Paypal payment, you will be directed back
to this page to complete the Online Registration Form.

PLEASE BE SURE TO COMPLETE BOTH STEPS


Sponsor Name(s)


  PLATINUM Sponsor - $5,000 (Limit: 2)
Please enroll me as a PLATINUM sponsor of Expo ’17. I have also completed this form listing the sponsorship contact company information, along with information for our THREE (3) attendees covered by the level of sponsorship. Payment of $5,000 along with this contract can be mailed or paid online. This sponsorship includes one table top booth.

  GOLD Sponsor - $3,000 (Limit: 3)
Please enroll me as a GOLD sponsor of Expo ’17. I have also completed this form listing the sponsorship contact company information, along with information for our TWO (2) attendees covered by the level of sponsorship. Payment of $3,000 along with this contract can be mailed or paid online.

  SILVER Sponsor - $2,000 (Limit: 4)
Please enroll me as a SILVER sponsor of Expo ’17. I have also completed this form listing the sponsorship contact company information, along with information for our TWO (2) attendees covered by the level of sponsorship. Payment of $2,000 along with this contract can be mailed or paid online.

  BOTTLE AUCTION EVENT Sponsor - $1,000
- Signs acknowledging sponsorship and presentation of Bottle Auction awards
Please enroll me as a Bottle Auction Sponsor of Expo ’17. I have also completed this form listing the sponsorship contact company information. Payment of $1,000.00 along with this contract can be mailed or paid online.

*All fields marked with an asterisk are required

Contact Person for Sponsorship:

*Full Name: 
*Title: 
*E-mail Address
  for event confirmation: 
*Company Name: 
*Mailing Address: 
*City: 
*State: 
*Zip: 
*Phone: 
*Fax: 

Attendee 1:

Full Name: 
Title: 
Nickname for Badge: 
E-mail Address
  for event confirmation: 
Company Name: 
Mailing Address: 
City: 
State: 
Zip: 
Phone: 
Fax: 

Attendee 2:

Full Name: 
Title: 
Nickname for Badge: 
E-mail Address
  for event confirmation: 
Company Name: 
Mailing Address: 
City: 
State: 
Zip: 
Phone: 
Fax: 

Attendee 3:

Full Name: 
Title: 
Nickname for Badge: 
E-mail Address
  for event confirmation: 
Company Name: 
Mailing Address: 
City: 
State: 
Zip: 
Phone: 
Fax: 

Please type in the box the numbers and/or letters you see.
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Platinum Sponsor - $5,000 (Limit: 2)
  • One Expo table-top booth (includes THREE attendee enrollments)
  • Full page company ad on back cover of printed program
  • Lanyards with company name OR logo
  • Booth number along with a description of products and services will be listed in the printed program
  • Signs indicating sponsorship of Welcome Reception or Monday Cocktail Reception
  • Opportunity to greet attendees and provide a 5 min. overview of your company and services during the Welcome Reception or Monday Cocktail Reception
Gold Sponsorship - $3,000 (Limit: 3)
  • One Expo table-top booth (includes TWO attendee enrollments)
  • Full page, inside cover company ad in printed program. (First reservation receives ad location)
  • Booth number along with a description of products and services will be listed in the printed program
  • Signs indicating your co-sponsorship of Monday continental breakfast, luncheon, and breaks
Silver Sponsorship - $2,000 (Limit: 4)
  • One Expo table-top booth (includes TWO attendee enrollments)
  • Half-page ad in printed program
  • Booth number along with a description of products and services will be listed in the printed program
  • Signs indicating your co-sponsorship of Tuesday continental breakfast and mid-morning break
Bottle Auction Event Sponsorships- $1,000.00
  • Sign indicating sponsorship and presentation of Bottle Auction awards.


Overnight Accommodations:

9/17/17 and 9/18/17
Room Rate: $99 Per Night Double/Single
Call Caesar’s Reservations at 888-516-2215
Refer to the group code SC09NE7
to obtain the conference rate.
Code not valid online, you must call.

Room Block Expires Friday Sept 1, 2017


New York State Collectors Association        |         ph 866.466.9797    fax 631.758.0044