Venue: Kalahari Resorts & Conventions | Round Rock, TX Exhibitor Contact InformationPlease refrain from using all caps/uppercase letters.Salutation*Mr.Mrs.Ms.Dr.First Name*Last Name*Job Title*Company*Address*City*State*Not Applicable, InternationalALAKAZARCACOCTDCDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYZip/Postal Code*Country*USAAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwePhone*CellEmail* WebsiteIndustry Type*EngineerManufacturerConsultantSupplierRetailerOther, type belowOther Industry Type* Billing Contact InformationIf different than contact above, please check the box and enter required information.Billing Contact Please send copy of the invoice/receipt to Billing Contact Billing Contact Name*Billing Contact Email* Billing Contact Phone* Exhibitor OpportunitiesIf not a TWQA member, Join Now for Member discounted rates. CLICK HERE for Exhibit Hall Layout TWQA Member? Yes No Exhibit Opportunities 6’ Tabletop Exhibit: $750.00 Company Name branding recognition as Exhibitor, 1 6′ skirted table, 2 chairs, 1 wastebasket and 1 lunch Ticket& 1 raffle Ticket 8”x10” Exhibit Space: $900.00 Company Name branding recognition as Exhibitor, 8′ tall background drape, 3′ tall side dividers, 1 6′ skirted table, 2 chairs, 1 wastebasket, 1 ID sign and 1 Awards Banquet Ticket, 1 lunch Ticket& 1 raffle Ticket 10”x10” Exhibit Space: $1,000.00Company Name branding recognition as Exhibitor and 8’tall background drape, 3’tall side dividers, 1-6′ skirted table, 2 chairs, 1 wastebasket, 1 ID sign and 2 Awards Banquet Tickets, 2 lunch Tickets & 2 raffle TicketsSOLD OUT Company Name recognition as Exhibitor during Convention Company Name recognition on website and Eblasts Comprehensive Participant List will be Provided Post-Convention Exhibit Opportunities 6’ Tabletop Exhibit: $1,250.00 Company Name branding recognition as Exhibitor and 1 6′ skirted table, 2 chairs, 1 wastebasket and 1 lunch Ticket& 1 raffle Ticket 8”x10” Exhibit Space: $1,400.00Company Name branding recognition as Exhibitor and 8’tall background drape, 3’tall side dividers, 1-6′ skirted table, 2 chairs, 1 wastebasket, 1 ID sign and 1 Awards Banquet Ticket, 1 lunch Ticket& 1 raffle Ticket 10”x10” Exhibit Space: $1,500.00Company Name branding recognition as Exhibitor and 8’tall background drape, 3’tall side dividers, 1-6′ skirted table, 2 chairs, 1 wastebasket, 1 ID sign and 2 Awards Banquet Tickets, 2 lunch Tickets & 2 raffle TicketsSOLD OUT Company Name recognition as Exhibitor during Convention Company Name recognition on website and Eblasts Comprehensive Participant List will be Provided Post-Convention Conference Exhibitor* 6’ Tabletop Exhibit, $750.00 8’x10′ Exhibit Space, $900.00 Conference Exhibitor* 6’ Tabletop Exhibit, $1,250.00 8’x10′ Exhibit Space, $1,400.00 Reference this Exhibit Room layout and choose your top 4 exhibit locations.Exhibit Booths will not be assigned until payment is received and processed.Tabletop Exhibit – 1st Choice*Tabletop 122 (Not Shown in layout)Tabletop 123 (Not Shown in layout)This field is hidden when viewing the formTabletop Exhibit – 2nd Choice*Tabletop 113Tabletop 114Tabletop 115Tabletop 116Tabletop 117Tabletop 118Tabletop 119This field is hidden when viewing the formTabletop Exhibit – 3rd Choice*Tabletop 113Tabletop 114Tabletop 115Tabletop 116Tabletop 117Tabletop 118Tabletop 119This field is hidden when viewing the formTabletop Exhibit – 4th Choice*Tabletop 113Tabletop 114Tabletop 115Tabletop 116Tabletop 117Tabletop 118Tabletop 1198'x10' Booth – 1st Choice*8'x10' Booth – 1058'x10' Booth – 1078'x10' Booth – 1098'x10' Booth – 1118'x10' Booth – 1138'x10' Booth – 1158'x10' Booth – 2078'x10' Booth – 2098'x10' Booth – 2118'x10' Booth – 2128'x10' Booth – 2138'x10' Booth – 2148'x10' Booth – 2158'x10' Booth – 2168'x10' Booth – 2178'x10' Booth – 2198'x10' Booth – 3068'x10' Booth – 3088'x10' Booth – 3108'x10' Booth – 3128'x10' Booth – 3148'x10' Booth – 3168'x10' Booth – 318This field is hidden when viewing the form8'x10' Booth – 2nd Choice*8'x10' Booth – 1018'x10' Booth – 1038'x10' Booth – 1058'x10' Booth – 1078'x10' Booth – 1098'x10' Booth – 1118'x10' Booth – 1138'x10' Booth – 1158'x10' Booth – 1178'x10' Booth – 1198'x10' Booth – 1218'x10' Booth – 2008'x10' Booth – 2018'x10' Booth – 2028'x10' Booth – 2038'x10' Booth – 2048'x10' Booth – 2058'x10' Booth – 2068'x10' Booth – 2078'x10' Booth – 2088'x10' Booth – 2098'x10' Booth – 2108'x10' Booth – 2118'x10' Booth – 2128'x10' Booth – 2138'x10' Booth – 2148'x10' Booth – 2158'x10' Booth – 2168'x10' Booth – 2178'x10' Booth – 2188'x10' Booth – 2198'x10' Booth – 2208'x10' Booth – 2218'x10' Booth – 3008'x10' Booth – 3028'x10' Booth – 3048'x10' Booth – 3068'x10' Booth – 3088'x10' Booth – 3108'x10' Booth – 3128'x10' Booth – 3148'x10' Booth – 3168'x10' Booth – 3188'x10' Booth – 320This field is hidden when viewing the form8'x10' Booth – 3rd Choice*8'x10' Booth – 1018'x10' Booth – 1038'x10' Booth – 1058'x10' Booth – 1078'x10' Booth – 1098'x10' Booth – 1118'x10' Booth – 1138'x10' Booth – 1158'x10' Booth – 1178'x10' Booth – 1198'x10' Booth – 1218'x10' Booth – 2008'x10' Booth – 2018'x10' Booth – 2028'x10' Booth – 2038'x10' Booth – 2048'x10' Booth – 2058'x10' Booth – 2068'x10' Booth – 2078'x10' Booth – 2088'x10' Booth – 2098'x10' Booth – 2108'x10' Booth – 2118'x10' Booth – 2128'x10' Booth – 2138'x10' Booth – 2148'x10' Booth – 2158'x10' Booth – 2168'x10' Booth – 2178'x10' Booth – 2188'x10' Booth – 2198'x10' Booth – 2208'x10' Booth – 2218'x10' Booth – 3008'x10' Booth – 3028'x10' Booth – 3048'x10' Booth – 3068'x10' Booth – 3088'x10' Booth – 3108'x10' Booth – 3128'x10' Booth – 3148'x10' Booth – 3168'x10' Booth – 3188'x10' Booth – 320This field is hidden when viewing the form8'x10' Booth – 4th Choice*8'x10' Booth – 1018'x10' Booth – 1038'x10' Booth – 1058'x10' Booth – 1078'x10' Booth – 1098'x10' Booth – 1118'x10' Booth – 1138'x10' Booth – 1158'x10' Booth – 1178'x10' Booth – 1198'x10' Booth – 1218'x10' Booth – 2008'x10' Booth – 2018'x10' Booth – 2028'x10' Booth – 2038'x10' Booth – 2048'x10' Booth – 2058'x10' Booth – 2068'x10' Booth – 2078'x10' Booth – 2088'x10' Booth – 2098'x10' Booth – 2108'x10' Booth – 2118'x10' Booth – 2128'x10' Booth – 2138'x10' Booth – 2148'x10' Booth – 2158'x10' Booth – 2168'x10' Booth – 2178'x10' Booth – 2188'x10' Booth – 2198'x10' Booth – 2208'x10' Booth – 2218'x10' Booth – 3008'x10' Booth – 3028'x10' Booth – 3048'x10' Booth – 3068'x10' Booth – 3088'x10' Booth – 3108'x10' Booth – 3128'x10' Booth – 3148'x10' Booth – 3168'x10' Booth – 3188'x10' Booth – 320This field is hidden when viewing the form10'x10' Booth – 1st Choice*10'x10' Booth – 10010'x10' Booth – 10210'x10' Booth – 10410'x10' Booth – 10610'x10' Booth – 10810'x10' Booth – 11010'x10' Booth – 11210'x10' Booth – 11410'x10' Booth – 11610'x10' Booth – 11810'x10' Booth – 12010'x10' Booth – 12210'x10' Booth – 30110'x10' Booth – 30310'x10' Booth – 30510'x10' Booth – 30710'x10' Booth – 30910'x10' Booth – 31110'x10' Booth – 31310'x10' Booth – 31510'x10' Booth – 31710'x10' Booth – 31910'x10' Booth – 32110'x10' Booth – 323This field is hidden when viewing the form10'x10' Booth – 2nd Choice*10'x10' Booth – 10010'x10' Booth – 10210'x10' Booth – 10410'x10' Booth – 10610'x10' Booth – 10810'x10' Booth – 11010'x10' Booth – 11210'x10' Booth – 11410'x10' Booth – 11610'x10' Booth – 11810'x10' Booth – 12010'x10' Booth – 12210'x10' Booth – 30110'x10' Booth – 30310'x10' Booth – 30510'x10' Booth – 30710'x10' Booth – 30910'x10' Booth – 31110'x10' Booth – 31310'x10' Booth – 31510'x10' Booth – 31710'x10' Booth – 31910'x10' Booth – 32110'x10' Booth – 323This field is hidden when viewing the form10'x10' Booth – 3rd Choice*10'x10' Booth – 10010'x10' Booth – 10210'x10' Booth – 10410'x10' Booth – 10610'x10' Booth – 10810'x10' Booth – 11010'x10' Booth – 11210'x10' Booth – 11410'x10' Booth – 11610'x10' Booth – 11810'x10' Booth – 12010'x10' Booth – 12210'x10' Booth – 30110'x10' Booth – 30310'x10' Booth – 30510'x10' Booth – 30710'x10' Booth – 30910'x10' Booth – 31110'x10' Booth – 31310'x10' Booth – 31510'x10' Booth – 31710'x10' Booth – 31910'x10' Booth – 32110'x10' Booth – 323This field is hidden when viewing the form10'x10' Booth – 4th Choice*10'x10' Booth – 10010'x10' Booth – 10210'x10' Booth – 10410'x10' Booth – 10610'x10' Booth – 10810'x10' Booth – 11010'x10' Booth – 11210'x10' Booth – 11410'x10' Booth – 11610'x10' Booth – 11810'x10' Booth – 12010'x10' Booth – 12210'x10' Booth – 30110'x10' Booth – 30310'x10' Booth – 30510'x10' Booth – 30710'x10' Booth – 30910'x10' Booth – 31110'x10' Booth – 31310'x10' Booth – 31510'x10' Booth – 31710'x10' Booth – 31910'x10' Booth – 32110'x10' Booth – 323 Company Logo and DescriptionCheck box(s) to upload/update logo or description Company Logo Company Description Upload Company Logo*please provide a High Resolution, 300 DPI or greaterAccepted file types: jpg, png, jpeg, Max. file size: 100 MB.Company Description*please provide one paragraph – 150 words or less Total Exhibitor FeeTotal Registration FeeRate will populate once a selection is made above. $0.00 Payment InformationExhibit Booths will not be assigned until payment is received and processed.Payment Method* Credit Card – Online Payment eCheck (Bank Wire w/o processing fee) – Online Payment Check Invoice Make checks payable toMake checks payable to:Texas Water Quality Association (TWQA)2109 Luna Rd., Suite 100Carrollton, TX 75006-6437 CommentsComments or InstructionsIf you are not the person who will be manning the Exhibit booth or tabletop, please provide their name & contact information here. CAPTCHA Please refer to TWQA’s Privacy Policy if you have any questions regarding your preferences.EmailThis field is for validation purposes and should be left unchanged.
