Exhibitor/Sponsor Application - OKDHA Annual Session | September 13-14, 2024 (#25)ΔOKDHA'S MARCH MADNESS 2025 RETAIL EXHIBITOR/SPONSOR REGISTRATION: Exhibitors and Sponsors MUST complete a registration form online, regardless of how payment is provided. Thank you! If you are affiliated with MEDICAL/DENTAL/CORPORATE business - please go to alternate registration. Company NameUpload Logo [high quality resolution please]File Upload Exhibitor Representatives Name(s):Billing AddressStreet AddressAddress Line 2CityState / ProvinceZIP / Postal CodeCountryCountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweEmailContact Phone NumberPlease mail samples or literature to the address below only if you would like these items to be included in the registration bags attendees receive at check-in. The materials need to be RECEIVED by September 1, 2024. Contact Info: Mandy Walters 520 W 40th Pl, Sand Springs, OK 74063 * Please email any questions to: Events@OKDHA.org Our company would like to provide the following door prizes:Our company would like to send the following literature or product samples to be included in bags attendees receive at beginning of event (materials need to be received by March 1, 2025):If you sponsor our event, your company will be recognized in promotional materials as a Bronze, Silver, Gold, or Platinum Sponsor. Your sponsorship total includes the cost of your exhibitor table. You may also choose to just sponsor our event if you cannot host a table. Thank you!Exhibitor Options Below you may select your in-person exhibitor option. Each selection includes one table, exhibitor promotional listings, and one lunch on Friday. If additional lunches are needed, you may purchase those separately. Exhibitors may come the Thursday before to set up table. Please indicate if you need to be near a power outlet so we can do our best to accommodate your needs. Exhibitor Selection Retail/Non-Dental Exhibitors - $180 (Annual Session)Will You Need An Outlet? Yes NoAdditional Lunch -$25 Yes - Additional Lunch NoAdditional Lunch QuantityDo you have any special dietary needs? (You may also email events@okdha.org with requests by September 1st) Yes - Vegetarian Yes- Gluten Free NoSponsorship OptionsChoose your sponsorship category and amount! You may select as many items as you would like, and each item adds to your sponsorship category total! We have some exciting new options this time, so please read carefully and email events@okdha.org if you have any questions before submitting your online form. You may choose to be a sponsor instead of having a table in our exhibitor hall, or you may have a table AND have additional sponsorship. We appreciate your support!Sponsorship Benefits and Amounts Explained: This is what your company will receive when you reach one of the sponsorship categories as explained below. Platinum - $2000Platinum acknowledgement with your company LOGO on event programs, Facebook and Instagram shout-outs to 2500 OKDHA/ADHA “friends” with your Company Logo/linkPLUS – Company Logo/Link on the OKDHA website for 8 months PLUS – Company Logo/Link on the Event Flyer hand delivered to 800+ dental offices in Oklahoma (Event flyers will go out June 1st, 2024 -Platinum sponsorship must be made by May 27th to be included on flyers)PLUS – a 2 min pre-recorded commercial featured in OKDHA Slideshow before the meeting and during lunchPLUS – a 2-minute opportunity to address event attendees and award your company door prize Gold - $1500Gold acknowledgement with your company LOGO on event programs, Facebook and Instagram shout-outs to 2500 OKDHA/ADHA “friends” with your Company Logo/linkPLUS – Company Logo/Link on the OKDHA website for 6 months PLUS – a 2-minute opportunity to address event attendees and award your company door prize Silver - $1000Silver acknowledgement of company on event programs, Facebook and Instagram shout-outs to 2500 OKDHA/ADHA “friends” with your Company link and name on the OKDHA website for 6 months Bronze - $500Bronze acknowledgement of company on event programs, Facebook and Instagram shout-outs to 2500 OKDHA/ADHA “friends” with your Company link and name on the OKDHA website for 3 monthsSelect Your Sponsorship Option(s) Platinum - $2000 Gold - $1500 Silver - $1000 Bronze - $500 Breakfast Sponsor $1000 AM Snack Sponsor $400 Lunch Co-Sponsor $1000 PM Snack Sponsor $400 *NEW* Event VIP Member-Only Bags with Logo $1500 N/ASponsorship Selections:Please note that the items totaled below have a pre-calculated 4% online processing fee added for those paying with credit card or via Invoice. If you are mailing in a check, you will manually add up the items based on the cost listed next to each item you select (not the pre-totaled amount). If you have questions, please email events@okdha.org.Refund Policy Absolutely no refunds after March 1, 2025. By selecting this checkbox you are agreeing to our refund policy.Payment Choice Mail In a Check (Make checks payable to “OKDHA” and mail to: Mandy Walters | 520 W 40th Pl, Sand Springs, OK 74063 Pay Online Today With Credit Card (You will pay after clicking "Submit" on this form) Request an Invoice to be paid by February 22,2025.Processing FeeNo payment items has been selected yetNo activated payment method found. If you are an admin please check the payment settingsCouponApply CouponSubmit .
