COMPANY NAME* NAME OF CONTACT PERSON* ADDRESS* PHONE NUMBER* EMAIL* FAX NUMBER SPONSORSHIP COMMITMENT* Yes, I would like to be an expo sponsor. I will support the expo at the following level: Presenting Sponsor - $5,000Runway Sponsor - $3,500Support Services Sponsor - $2,500Refreshment Sponsor - $2,000Technology Sponsor - $1,000Friend of A & O Sponsor - $800 EXHIBITOR BADGES Please include the names of individuals requiring badges below. Up to three badges will be permitted per booth. Names must be received by April 28, 2018. EXHIBITOR 1: EXHIBITOR 2: EXHIBITOR 3: PAYMENT METHOD A representative from our office will be in contact with you to confirm payment details. Credit cardInvoiceCheque ADDITIONAL DETAILS Pipe and drape is not available at this show. Final placement is at the discretion of the show committee. All exhibitor booths must remain open and operational until the end of the day at 5pm. Invoices will be issued. A $50.00 cancellation fee will be charged for cancellations received before April 28, 2018. No refunds will be allowed after May 4, 2018. For further information, contact (204) 956-6440. If paying by cheque or money order, please make payable to “A & O: Support Services for Older Adults” and submit to 55+ Housing & Active Lifestyles Expo c/o A & O: Support Services for Older Adults, 200-280 Smith Street, Winnipeg, MB R3C 1K2.