2024 Keystone Dental Health Conference® October 24-27, 2024. Gettysburg, PA. Registration and details coming soon The 2024 Keystone Health Conference®Information coming soon!Corporate Vendor Registration1Read Letter2Register Online Sponsor Registration InformationCompany NameCompany Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Company PhoneCompany Email Email for invoiceExhibitor's NameExhibitor's PhoneExhibitor's Email (After registration information is received, information will be emailed to the company exhibitor regarding hotel information and directions.)Please select a sponsorship level:(Required) GOLD SPONSOR: Contribution of $1200Includes: recognition on the PDHA website (logo and company webpage link), full-page black and white ad (8” x 5”) in program book, your company logo highlighted at social events during the conference and 1 free exhibit booth. SILVER SPONSOR: Contribution of $750Includes: recognition on the PDHA website (company webpage link), 1/2 page black and white ad (4” x 5”) in program book, 1 free exhibit booth. BRONZE SPONSOR: Contribution of $300Includes: Sponsor of Conference Event, recognition on the PDHA website, 1/2 page black and white ad (4” x 5”) in program book, 1 free exhibit booth.Your exhibit registration fee includes an 8-foot skirted table and a continental breakfast.Platinum Sponsor Donation Amount:(Required) Gold Sponsor Donation Amount:(Required) Silver Sponsor Donation Amount:(Required) Bronze Sponsor Donation Amount:(Required) Contributing Sponsor Donation Amount:(Required) Electrical outlet needed? Yes NoExtension cord needed? Yes NoThere will be a $25 fee for electric and/or extension cord rental (hotel policy).Electric and/or Extension Cord Fee Price: Upload Ad and/or Logo (JPEG format) Drop files here or Select filesAccepted file types: jpg, jpeg, Max. file size: 256 MB.If you are unable to upload your company ad or logo at this time, please email it to PDHA Central Office, [email protected], by September 1, 2024. MUST BE IN JPEG FORMAT.Payment Information: Once your Registration Form has been received, you will receive an invoice via email. There are two online payment options; credit card and bank transfer. If you are unable to pay using the provided methods please contact the PDHA Central Office via email at [email protected]. Additional fees may apply.Total
