2022 Conference & Trade Show EXHIBITOR Registration EWQA Fall '22 EXHIBITOR 1Membership2Primary Registree3Exhibitor Options4Additional Exhibitor Items and Tickets5Review & Submit Are You an EWQA Member?(Required) Yes No Would You Like to Join EWQA and Save on Your Event Registration Fees Today?(Required) Yes No Please Choose Your Membership Type(Required) Retailer/Dealer ($160) Manuf./Supplier/Distributor ($260) Associate/Business Consultant ($95) Primary Member or Contact(Required) First Last Primary attendee name. OR if exhibiting or just a sponsorship, primary contact name.Phone(Required)Best way to reach youCompany Name(Required) Contact Email(Required)EWQA announcements and registration links will be sent here Additional Emailadditional email such as a bookkeeper or manager who keeps track of events and registrations Company Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Your LogoIf you don't have it now, that's ok. We'll get it later.Accepted file types: jpg, gif, png, pdf, Max. file size: 5 MB. Exhibitors Receive:2 each; badges, reception, seminars, lunch, and auction/banquetRegistration Info Use Registration info as Primary Attendee Primary Attendee or Contact(Required)Primary attendee name. First Last Company Name(Required) Primary Registree Email(Required) EXHIBITOR OPTIONSPlease choose from the options below. Pleas add the registration names and emails of each attendee you are selectingMember Exhibitor OptionsSelect to order AND/OR read more about each registration option BOOTH: One 10' x 10' Space ($925) TABLE TOP: One 8’X8’ Space ($800) No Registration Needed. I'm adding ADDITIONAL Items (Next Section) NON-Member Exhibitor OptionsSelect to order AND/OR read more about each registration option BOOTH: One 10' x 10' Space ($1185) TABLE TOP: One 8’X8’ Space ($1050) No Registration Needed. I'm adding ADDITIONAL Items (Next Section) BOOTH: One 10' x 10' Space (Booths 1-15)INCLUDES: Booth space, 2 registrations, 1 table and 2 chairs10'x10' BOOTH(Required) Price: $0.00 Quantity: How many would you like?10'x10' BOOTH Registree Name(s)(Required)NameEmail Add RemoveUse the '+' on the right to add rows10'x10' BOOTH(Required) Price: $0.00 Quantity: How many would you like?10'x10' BOOTH Registree Name(s)(Required)NameEmail Add RemoveUse the '+' on the right to add rowsTABLE TOP: One 8’X8’ Space (Spaces 1-35)INCLUDES: :Tabletop space, 2 registrations, 1 table and 2 chairs8'x8' TABLE TOP(Required) Price: $0.00 Quantity: How many would you like?8'x8' TABLE TOP Registree Name(s)(Required)NameEmail Add RemoveUse the '+' on the right to add rows8'x8' TABLE TOP(Required) Price: $0.00 Quantity: How many would you like?8'x8' TABLE TOP Registree Name(s)(Required)NameEmail Add RemoveUse the '+' on the right to add rowsTotal ADDITIONAL Items/TicketsBooth Needs, Banquet And/or ReceptionMember Addition OptionsSelect to order AND/OR read more about each registration option Booth/table ELECTRIC ($55) Additional FULL Registration for Exhibitor ($175) Additional BANQUET TIX ($50 ea.) None Needed NON-Member Addition OptionsSelect to order AND/OR read more about each registration option Booth/table ELECTRIC ($55) Additional FULL Registration for Exhibitor ($250) Additional BANQUET TIX ($65 ea.) None Needed Electric Hookup(s)(Required) Price: $0.00 Quantity: How many would you like?Electric Hookup(s)(Required) Price: $0.00 Quantity: How many would you like?Additional FULL Registration (2 Included with Exhibit)INCLUDES: classes, show, meals, reception and auction.Additional Full Conference Registration(s)(Required) Price: $0.00 Quantity: How many would you like?Additional Full Conference Registration(s) Registree Name(s)(Required)NameEmail Add RemoveUse the '+' on the right to add rowsAdditional Full Conference Registration(s)(Required) Price: $0.00 Quantity: How many would you like?Additional Full Conference Registration(s) Registree Name(s)(Required)NameEmail Add RemoveUse the '+' on the right to add rowsAdditional BANQUET TIXINCLUDES : Dinner at Thurs Night Banquet. Good for guests, employees, etc.Additional BANQUET TIX(Required) Price: $0.00 Quantity: How many would you like?Additional BANQUET TIX Registree Name(s)(Required)NameEmail Add RemoveUse the '+' on the right to add rowsAdditional BANQUET TIX(Required) Price: $0.00 Quantity: How many would you like?Additional BANQUET TIX Registree Name(s)(Required)NameEmail Add RemoveUse the '+' on the right to add rowsTotal Consent(Required)The Undersigned Firm, Referred To Hereinafter As “Exhibitor,” Agrees As Follows: 1. EWQA will provide exhibit space and facilities in its 2022 Exhibition as described in the Exhibitor Information sheet and Application for Space. 2. Exhibitor understands that there are other charges for electrical power, special decorations, shipping and storage handling, which charges will be delineated in information provided by the decorator. 3. Exhibitor will abide by the rules and regulations of EWQA as described and referenced in the 2022 Exhibit information. 4. Exhibitor will accept space assignment other than choices indicated in the event said choices are not available or are in conflict with previously assigned adjacent exhibits. EWQA reserves the right to move an Exhibitor to approve the appearance of the show. 5. Exhibitor may, if he desires, cancel the agreement and receive a refund less a service charge of $100.00, if written request is made by Sept 1, 2022 6. Mohegan Sun Poconos, Wilkes-Barre PA and/or EWQA shall not be liable to the Exhibitor for any damage to, or loss or destruction of, and exhibit or property of the Exhibitor by fire or other casualty, whether caused by negligence of Mohegan Sun Poconos, Wilkes-Barre PA or EWQA, their officers, agents, employees or otherwise. 7. Exhibitor assumes the entire responsibility and the liability for losses, damages and claims arising out of injury or damage to exhibitor’s displays, equipment and other property brought on to the premises of the hotel, and shall indemnify and hold harmless Mohegan Sun Poconos, Wilkes-Barre PA and the Eastern Water Quality Association, and any authorized representative, agent or employee of the foregoing of any and all losses, damages and claims. 8. Exhibitors or their agents shall not injure or deface the walls or carpets of the building, the booths or the equipment of the booths. Exhibitors are forbidden to drive tacks, nails or screws into the walls or woodwork. When such damage appears, the Exhibitor is liable to the owner of the property so damaged. 9. EWQA reserves the right to refuse any exhibit or Exhibitor and further reserves the right to shut down any exhibit for breach of this agreement or for cause, in which event EWQA is liable only to the extent of refunding the exhibit fee. I agree to the EWQA Exhibitor Terms and ConditionsTotal Credit CardCard Details Cardholder Name Please Do Not Refresh or Leave Once You Have Clicked Submit. Page Will Refresh Automatically.CommentsThis field is for validation purposes and should be left unchanged.