2023 NGAI ANNUAL CONFERENCE PATRIOT LEVEL PARTNERSHIP REGISTRATION Please enable JavaScript in your browser to complete this form.BOOTH REQUIREMENTS: ********MOVE IN DATES: Wed 4/26/2023, Thurs 4/27/2023, Fri 4/28/2023 -- MOVE OUT DATES: Sat 4/29/2023 & Sun 4/30/2023******* All exhibit areas are approximately 10X10 unless otherwise negotiated with NGAI. If you need additional space, please reach out to our office at 317-247-3438 or info@ngai.net.Business/Organization Name *Representative Name *FirstLastTitle *Phone *Email *Business Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDoes your exhibit space require an outlet? *YesNoWill you be using a pop-up display? *YesNoType of Display? *FloorTable-TopEvent Registration: NOTE - ALL events whether free or not will be ticketed, you MUST select EVERY event you wish to attend or you will not receive a ticket for that event.Exhibit Fee - FreePrice: $ 0.00Conference Registration - $120/pp *One AttendeeTwo AttendeesThree AttendeesFour AttendeesSelect Number of Attendees - 3 Reps FreeName of Attendee *FirstLastName of Attendee *FirstLastName of Attendee *FirstLastName of Attendee *FirstLastGolf $100/pp : Friday April 26th @ 7am - Autumn Ridge Golf Club *Select OneNoneOneTwoThreeFourSelect Number of Players - 3 Players FreeName of Golfer *FirstLastName of Golfer *FirstLastName of Golfer *FirstLastName of Golfer *FirstLastBusiness Lunch - $40/pp (fee for non-registered attendees) *Select OneNo extraOneTwoSelect Number of Lunches, you get 3 free with your free partner registrations. ONE Business lunch is included with EACH paid registration. If you do not want extra lunches, select "No Extra".Exhibitor Reception - $40/pp (fee for non-registered attendees) *Select OneWe have NO Non-Registered AttendeesOneTwoThreeFourSelect Number of Attnedees, you get 3 free with your free partner registrations. ONE attendee is included with EACH paid registration. This fee is for non-registered attendees. If everyone that is attending is registered, please select "We have NO Non-Registered Attendees"Hospitality Night $29/pp : Fort Wayne Tin Caps Baseball Game: Friday April 26th @ 7pm *Select OneNo AttendeesOne AttendeeTwo AttendeesThree AttendeesFour Attendees3 Attendees FREE. Hospitality Night will be a baseball game at the Fort Wayne Tincaps. Each attendee will receive admission, a hotdog, bag of chips, a non-alcoholic beverage, and a ticket for a beer, wine, or mixed drink.Fun Run **FREE EVENT** Saturday April 27th 7am - Downtown Ft. WayneSelect OneNot RunningOne RunnerTwo RunnersThree RunnersFour RunnersEvent is sponsored and FREE to all who sign up. T-Shirt and Snacks provided. T-Shirt Size Runner 1 *Select OneAdult SmallAdult MediumAdult Large Adult XLAdult XXLT-Shirt Size Runner 2 *Select OneAdult SmallAdult MediumAdult Large Adult XLAdult XXLT-Shirt Size Runner 3 *Select OneAdult SmallAdult MediumAdult Large Adult XLAdult XXLT-Shirt Size Runner 4 *Select OneAdult SmallAdult MediumAdult Large Adult XLAdult XXLCorporate Partner Reception - Connors Rooftop : Thursday April 25th 6:30pm *Select OneNot AttendingOne AttendeeTwo AttendeesThree AttendeesYou are invited to join us for an amazing night at Connor's Rooftop. This is a free event and includes dinner & drinks, and a rooftop view of the TinCaps Baseball Game. Please select your number of attendees.States Dinner: Saturday April 27th @ 7pm *Select OneNot AttendingOneTwoThreeFourIncluded with each paid registration: Select Number of AttendeesMeal Selection Attendee One *BeefChickenVegetarianMeal Selection Attendee Two *BeefChickenVegetarianMeal Selection Attendee Three *BeefChickenVegetarianMeal Selection Attendee Four *BeefChickenVegetarianSponsor A Conference EventHospitality Suite $500Alumni Breakfast $500Golf Hole $200Co-Sponsor Golf Hole $100Golf Beer Cart $500Business Lunch $250Sponsors will receive signage with logo at each event sponsoredTotal$ 0.00Payment Method *Select OneCheck (Mailed)Credit CardOtherCredit CardCard NumberSecurity CodeName on CardExpirationMM123456789101112/YY2526272829303132333435WebsiteSubmit