2025 Spring Conference Exhibitor Form

CHCA 2025 Spring Conference Exhibitor Information

Organization Name(Required)

Organization Logo(Required)

Max. file size: 21 MB.

Business Type(Required)

Organization Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Organization Phone Number(Required)

Phone Extension

Preferred Booth Location (Two Options)(Required)

Additional Booth Amenities(Required)

Will your organization require electricity at your booth?(Required)

Yes

Please note there is an additional fee for this service.

Please list any competitors you do not want your booth near:(Required)

Please list any (two) companies you would prefer for your booth to be near:

My Organization will attend the Member Reception.(Required)

CHCA hosts a Member Reception; there is a $150 fee for Exhibiting Organizations to attend.

First Representative Name(Required)

First Last

This Representative should be the primary contact.

First Representative Title(Required)

First Representatives Email(Required)

First Representatives Phone Number(Required)

Second Representative Name(Required)

First Last

Second Representative Title(Required)

Second Representatives Email(Required)

Second Representatives Phone Number(Required)

Please provide the name, email address and phone number of anyone else that needs to receive information about this event.(Required)

Name Email Address Phone Number/Ext

Cancellation Policy(Required)

My Organization understands and accepts the cancellation policy.

Cancellations and Refunds : All booth cancellations must be submitted in writing via email. A full refund will be issued if cancellation is received by CHCA 60 or more days prior to the event. Cancellations received less than 60 days prior to the event will not be eligible for a refund.

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First Choice

Second Choice

Third Choice

2025 Spring Conference Exhibitor Form

CHCA 2025 Spring Conference Exhibitor Information

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