NAICC & NICCA 
2016  FOCUS ON PRECISION
Exhibitor & Sponsorship Form

SPONSORSHIP OPPORTUNITIES: The easiest way to make the most of your advertising dollars is to sponsor the premier meeting for the top crop consultants from NE and the surrounding area at the 2016 NAICC/NICCA Focus on Precision Meeting, February 23-24 at the Hilton Downtown, Omaha, NE.  As a sponsor, your company’s name will be in the spotlight as we show our appreciation in the program materials, signage and from the podium.  Sponsor levels are:

Platinum  $2500	Gold  $1000		Silver  $500		Bronze  $250
Conference Attendee(s): If registering people from various locations, please include names, addresses and contact numbers for ALL attendees. Attach additional copies of the contract if necessary. Each exhibiting company will receive one complimentary registration with each $250 exhibit space. Additional registrations are $125 per person and include name badge and admission to all meal functions, educational sessions and exhibit hall functions.
Price for one tabletop exhibit space is: $250

			              PLEASE TYPE OR PRINT

EXHIBITOR REGISTRATION - $250
Company Name 	
Name 	 
Address	
City	State	 Zip 	
Phone 	 Fax 	
E-mail	
For planning purposes, please indicate which meals you wish to attend. 
Tuesday, February 23                          Continental Breakfast	_____
                                                      Lunch in Exhibit Hall	_____
      Social with light snacks & cash bar in Exhibit Hall	_____
Wednesday, February 24        Continental Breakfast 	_____
                          		   Lunch in Exhibit Hall	_____
ADDITIONAL REGISTRATIONS - $125 EACH
Company Name 	
Name 	 
Address	
City	State	 Zip	
Phone	Fax 	
E-mail	
For planning purposes, please indicate which meals you wish to attend. 
Tuesday, February 23                         Continental Breakfast	_____
                                                      Lunch in Exhibit Hall	_____
      Social with light snacks & cash bar in Exhibit Hall	_____
Wednesday, February 24         Continental Breakfast 	_____
                          		    Lunch in Exhibit Hall	_____

Enclosed Payment: All fees must be paid in US funds and must accompany the exhibit form in order to be processed.
□ Check enclosed (payable to NAICC) 
    or
□ Visa	□ MasterCard	□ American Express
Name on card:	
Billing address if different from above:	
Card Number:	
Exp. Date:	  Sec. Code: __________
Signature:	

$ ___________	for ____	exhibit space(s) 
			@ $250 each
+	  for ____	additional registrations                               	@ $125/person
+	 for sponsorship 
= $	Total amount enclosed 
Send completed form with payment to:
NAICC • 349 E. Nolley Drive • Collierville, TN 38017 Phone: (901) 861-0511 • Fax: (901) 861-0512 
E-mail: AllisonJones@NAICC.org