Sponsor and Exhibitor Registration Form "*" indicates required fields Company/Organization* (Please print exactly as name should appear in the program and on signage.)Contact Name* First Last Contact Title* Cell Phone*Cell phone number of exhibitor delegate for contact during conference.Email Address* (All additional information will be e-mailed to this address.)Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Sponsorship OptionsSponsorship Levels Denali - $10,000 Elias - $7,500 Foraker - $5,000 North Star - $3,500 Partner - $2,000 Supporter - $1,000 Additional Sponsorship Opportunities Snack Break - $2,000 Lanyard Support- $4,000 Coffee Cart - $4,000 AMLLounge - $4,000 Conference Bags - $7,000 Awards Luncheon - $10,000 Community Block Party - $10,000 Game Night - $10,000 ACoM President's Reception (Monday night) - $10,000 Exhibitor OptionsAfter we receive your registration, we will be in contact with you regarding booth location options and needs.Monday, December 9 – Tuesday, December 10: Member - $450 Government/Non-Profit - $350 Non-Member - $550 Wednesday, December 11 – Friday, December 13: Member - $600 Government/Non-Profit - $750 Non-Member - $925 Monday, December 9 – Friday, December 13: Member - $800 Government/Non-Profit - $950 Non-Member - $1,125 Exhibitor Booth is included with my sponsorship level (Foraker and up)What days are you exhibiting? Monday - Friday Wednesday - Friday Additional Representative Quantity Price: $100.00 Quantity Type of Services or Products*Payment Options* Please invoice me. I will pay online now with a credit card. Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name Total Company LogoMax. file size: 100 MB.Please provide your print ready logo for the conference program. Best formats are transparent background .PNG, .PDF, or .EPS.Cancellation PolicyCancellations or changes must be made in writing and received by mail, email or fax no later than Friday, November 15, 2024. No refunds will be made for “no-shows” or cancellations after this date. “No-shows” will be billed for the full amount. AML can not be responsible for cancellations due to weather. If you have any questions, please contact Sarah King at (907) 586-1325 or sarahk@akml.orgCommentsThis field is for validation purposes and should be left unchanged. Δ