SCMA 2017 Annual Conference & Expo – Exhibitor/Sponsor Registration – San Antonio, TX "Membranes: Fundamentals, Focuses and Future Endeavors"San Antonio Marriott Rivercenter - San Antonio, TXAugust 23-25, 2017 RegistrantSalutation*Mr.Mrs.Ms.Dr.First Name*Middle InitialLast Name*Suffix (i.e.: Ph.D., P.E., Jr.)Company*Job Title*Address*City*State*Zip/Postal Code*Country*Telephone*Call PhoneFaxEmail* Email Notifications*Yes, I authorize receiving publication email notificationsNo, I would not like to receive publication email notifications (opt-out)Authorization for receiving publication email notification from SCMA. (applies to all email addresses on this form)Website Special Needs Food Allergies (describe in comments) Gluten Free Meals Halal Meals Vegan Meals Vegetarian Meals Wheelchair Access Other (describe in Comments) Sponsor OpportunitiesAll sponsorship is available on a first-come, first-serve basis and recorded based upon receipt of registration form and full payment.• Platinum Level: Includes 1 Exhibit Space or 2 Full Registrants, and Recognition at Welcome Reception & Lunch Events • Gold Level: Includes 1 Exhibit Space or 2 Full Registrants, and Recognition at Lunch Events • Silver Level: Recognition at Refreshment Breaks • Bronze Level: Recognition at Interactive Break-Out SessionsAll sponsors will receive: • List of attendees sent via e-mail two weeks prior • Acknowledgement in the attendee materials (100-word company description, please email to planning@scmembrane.org • Sign recognition during the programEvent Sponsor*Platinum Sponsor, $2,000Gold Sponsor, $1,500Silver Sponsor, $800Bronze Sponsor, $500No SponsorshipSponsorship Package: Your Choice*Exhibit Package (Includes 1 Attendee with Table-Top Exhibit)2 Full AttendeesIncluded in the sponsor fee.Are you the Exhibit Attendee?*Yes, the same as aboveNo, different than aboveCompany Description100-word company descriptionExhibit OpportunitiesAll sponsorship is available on a first-come, first-serve basis and recorded based upon receipt of registration form and full payment.All Table Top Exhibitors will receive: • One 6’ Table (Chairs are available upon request) • One full attendee registration to the Conference • Electricity is available from the Hotel for an additional fee • List of attendees sent via e-mail two weeks priorExhibit Space*Table Top Exhibit, $750No ExhibitSpaces are selected onsite - first come, first served.Are you the Exhibit Attendee?*Yes, the same as aboveNo, different than above Included Attendee 1Salutation - Included Attendee 1*Mr.Mrs.Ms.Dr.First Name - Included Attendee 1*Last Name - Included Attendee 1*Company - Included Attendee 1*Job Title - Included Attendee 1*Address - Included Attendee 1*City - Included Attendee 1*State - Included Attendee 1*Zip/Postal Code - Included Attendee 1*Country - Included Attendee 1*Telephone - Included Attendee 1*Email - Included Attendee 1* Included Attendee 2Salutation - Included Attendee 2*Mr.Mrs.Ms.Dr.First Name - Included Attendee 2*Last Name - Included Attendee 2*Company - Included Attendee 2*Job Title - Included Attendee 2*Address - Included Attendee 2*City - Included Attendee 2*State - Included Attendee 2*Zip/Postal Code - Included Attendee 2*Country - Included Attendee 2*Telephone - Included Attendee 2*Email - Included Attendee 2* Total Registration FeeTotal Registration Fee $0.00 Payment InformationPayment Method*Credit Card - Online PaymenteCheck (Bank Wire w/o processing fee) - Online PaymentCheckInvoice Comments/QuestionsIf you would like a copy of the invoice/receipt sent to another*Yes, send copy of invoice/receipt to:No, don't need a copy sentIf yes, you would like a copy of the invoice/receipt sent to another other than the attendee please enter information below.Name* First Last Email Address* Comments Cancellations/RefundsWritten cancellation requests received by SCMA on or before June 23, 2017 will receive a refund, less a 25% processing fee. Full payment is required if cancellation is received on or after June 24, 2017 - no refunds and no credits for future events will be granted. However, substitutions may be made at any time. SCMA reserves the right to make changes in programs and speakers, or to cancel programs when conditions beyond its control prevail. Every effort will be made to contact each enrollee if a program is cancelled. If a program is not held, SCMA’s liability is limited to the refund of the program fee only. Final Step of Application Process: CaptchaPlease enter the letters displayed above to complete your application and then click Submit.