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Questions? Call (614) 859-2223, email ohioacc@gmail.com, www.ohioacc.org

Lead Representative

Company:

Lead Rep Name:

Email:

Cell: Email: Cell:

Address:

City: State: ZIP Code:

Additional Representatives

Name: E-mail: Cell:

Name: E-mail: Cell:

Name: E-mail: Cell:

Participation Selection (Sponsorships are based on availability)

Payment Information

TOTAL $_________________

Checks should be made payable to Ohio Chapter-ACC. Federal Tax ID #31-1315856. Mail to: 440 Laurel Chase Ct NW, Atlanta, GA 30327

Agreement

❏We understand that all exhibit displays must be prepaid in full. In the event that we cancel our exhibit, we understand that we are still obligated to

I have read and agree to the terms stated:

Signature ________________________________________________________ Date_____________________

Saturday, October 24, 2020 Ohio-ACC Exhibitor Reply Form: Virtual Annual Meeting

❏Gold $2500

❏Silver $1500

❏Exhibitor $600

the full cost of the exhibit display.

❏Platinum $3500 �❏Industry Expert Webinar Session $3500 (only with paid Platinum sponsorship)