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  • 8/3/2019 Forum 2012 Exhibitor Brochure

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    2012

    FORUM

    InterAction

    ENGAGE LEARN BUILD

    April 30-May 2Crystal Gateway Marriott, Arlington, VA

    E X H I B I T O R I N F O R M AT I O N

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    ACDI/VOCA

    Action Against Hunger USA

    ActionAid International USA

    Adventist Development and Relie Agency International

    (ADRA)

    Arican Medical & Research Foundation

    Arican Methodist Episcopal Service and

    Development Agency (AME-SADA)

    AricareAga Khan Foundation USA

    Air Serv International

    All Hands Volunteers

    Alliance or Peacebuilding

    Alliance to End Hunger

    American Friends Service Committee

    American Jewish Joint Distribution Committee

    American Jewish World Service

    American Near East Reugee Aid

    American Red Cross International Services

    American Reugee Committee

    AmeriCares

    Americas Development Foundation (ADF)

    Americas RelieTeam

    Amigos de las Amricas

    Ananda Marga Universal Relie TeamBaptist World Alliance

    Basic Education Coalition (BEC)

    Bethany Christian Services International, Inc.

    Bnai Brith International

    BRAC USA

    Bread or the World

    Bread or the World Institute

    Brothers Brother Foundation

    Buddhist Tzu Chi Foundation

    Campaign or Innocent Victims in Conict (CIVIC)

    CARE

    Catholic Relie Services

    CBM

    Centre or Development and Population Activities (CEDPA)

    Center or Health and Gender Equity (CHANGE)

    CHF International

    ChildFund International

    Christian Reormed World Relie Committee (CRWRC)

    Church World Service

    Communications Consortium Media Center

    Concern America

    CONCERN Worldwide U.S., Inc.

    Congressional Hunger Center

    Counterpart International

    Creative Learning

    Development Gateway

    Direct Relie International

    Disability Rights Education and Deense Fund (DREDF)

    The Eagles Wings Foundation

    Easter Seals

    Educational Concerns or Hunger Organization (ECHO)Education Development Center (EDC)

    Episcopal Relie & Development

    Ethiopian Community Development Council

    Family Care International

    Food or the Poor (FFP)

    Freedom rom Hunger

    Friends o ACTED

    Friends o the Global Fight

    GOOD360

    Giving Children Hope

    The Global Food Banking Network

    Global Fund or Children

    GlobalGiving

    Global Health Council

    Global Links

    Global Resource Services

    Global Washington

    Habitat or Humanity International

    Handicap International USA

    Heart to Heart International

    Heartland Alliance

    Hebrew Immigrant Aid Society

    Heier InternationalHelen Keller International

    HelpAge USA

    Helping Hand or Relie and Development

    Holt International Childrens Services

    Humane Society International (HSI)

    The Hunger Project

    Inormation Management and Mine Action Programs

    (IMMAP)

    INMED Partnerships or Children

    InsideNGO

    Institute or Sustainable Communities

    Interchurch Medical Assistance, Inc. (IMA World Health)

    International Catholic Migration Commission (ICMC)

    International Center or Not-or-Proft Law

    International Center or Research on Women (ICRW)

    International Foundation or Electoral Systems (IFES)International Fund or Animal Welare

    International Housing Coalition (IHC)

    International Medical Corps

    International Medical Health Organization (IMHO)

    International Orthodox Christian Charities (IOCC)

    International Relie & Development

    International Relie Teams

    International Rescue Committee (IRC)

    International Social ServiceUnited States o America

    Branch, Inc

    International Youth Foundation

    IntraHealth International, Inc.

    Islamic Relie USA

    Jesuit Reugee Services USA

    Jhpiego an afliate o The Johns Hopkins University

    Keystone Humane Services International

    Korean American Sharing Movement

    Latter-day Saint Charities

    Lie or Relie and Development

    Lions Clubs International Foundation

    Lutheran World Relie

    Management Sciences or Health (MSH)

    MAP International

    Medical Care Development

    Medical Emergency Relie International (Merlin)

    Medical Teams International

    MedShare International

    Mercy Corps

    Mercy USA or Aid and Development

    Millennium Promise

    Mobility International USANational Association o Social Workers

    National Peace Corps Association

    ONE Campaign

    One Economy Corporation

    Operation Blessing International Relie and Development

    Corporation

    Operation USA

    Outreach International

    Oxam America

    Pact

    Pan American Development Foundation

    Pan American Health and Education Foundation (PAHEF)

    PATH

    Pathfnder International

    PCI-Media Impact

    Perkins International

    Phelps Stokes

    Physicians or Human Rights

    Physicians or Peace

    Plan USA

    Planet Aid

    Plant with Purpose

    Population Action InternationalPopulation Communication

    Presbyterian Disaster Assistance and Hunger Program

    Project C.U.R.E.

    PCI

    ProLiteracy

    Reugees International

    Relie International

    Religions or Peace

    Resolve Uganda

    RESULTS

    ReSurge International

    Salvation Army World Service Ofce

    Save the Children

    Seva Foundation

    Society or International Development (SID)

    Solar Cookers InternationalSolidarity Center

    Stop Hunger Now

    Transparency International USA

    Trickle Up Program

    Unitarian Universalist Service Committee

    United Methodist Committee on Relie

    United Nations Foundation

    United States International Council on Disabilities (USICD)

    United Way Worldwide

    USA or UNHCR

    U.S. Climate Action Network (USCAN)

    U.S. Committee or Reugees and Immigrants

    U.S. Fund or UNICEF

    VAB (Volunteers Association o Bangladesh)

    Water Aid America

    Water or South Sudan

    WellShare International

    WFP USA

    Winrock International

    Women or Women International

    Women Thrive Worldwide

    World Concern

    World Connect

    World Hope International

    World Learning

    World Neighbors

    World Rehabilitation Fund

    World Relie

    World Resources Institute (WRI)

    World Society or the Protection o Animals

    World Wildlie FundWorld Vision

    ASSOCIATE MEMBERS

    Center or Justice and Peacebuilding, Eastern Mennonite

    University

    Enough Project (a project o Center or American Progress

    (CAP)

    Global Masters in Development Practice Secretariat o the

    Earth Institute at Columbia University

    Moynihan Institute o Global Aairs at Maxwell School o

    Syracuse University, The Transnational NGO Initiative

    The NGOLD Center at Northern Illinois University

    (as o 11/4/11

    InterAction Members

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    Dear Exhibitors & Sponsors,

    As a major partner in our work to end poverty and respond todisasters worldwide, we invite you to register as an exhibitorand sponsor at the 28th annual InterAction Forum, which willbe held April 30-May 2, 2012, at the Crystal Gateway Marriott in

    Arlington, Virginia.

    The InterAction Forum is the place where the U.S. internationalNGO community and our diverse group o partners gather tostrategize on a wide range o issues. The thought-provokingplenary sessions and interactive workshops give attendees the

    chance to hear rom leaders such as Nobel Peace Prize laureates and senior ofcials

    rom USAID, the White House, the World Bank and the United Nations. Forum 2011 wasour largest to date, with over 1,000 leaders rom nonprofts, corporations, oundations,government, and other proessionals who work to eradicate extreme poverty and ensurehuman dignity or poor and vulnerable populations worldwide.

    Forum 2012 will continue to provide an excellent platorm or discussion on issues thatare critical to the ever-changing development landscape. The Forum acilitates learning,builds relationships and allows space to air diering ideas and perspectives, all with acommon goal o improving the lives o the worlds poorest and most vulnerable people.

    Our exhibit hall is a vibrant hub that provides an excellent opportunity or exhibitors andsponsors both to share their products and services, and to engage with leaders romboth our membership and partners rom other sectors.

    Our Membership Team is available to answer any questions you may have We havelimited spaces and in recent years exhibitor spaces have sold out quickly. We urge you toregister early.

    We hope you will be able to join us or what is sure to be another powerul gathering.

    Best regards,

    Samuel A. WorthingtonPresident & CEOInterAction

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    We are pleased to invite you to exhibit at the 28th annual InterAction

    Forum, which will be held April 30-May 2, 2012, at the Crystal

    Gateway Marriott in Arlington, Virginia. Forum 2012 will eature

    a new and improved exhibitor layout in one large hall, located

    adjacent to the plenary session hall and the registration desk.

    Special activities and networking opportunities will take place

    both in and adjacent to the exhibit hall, allowing or more visibility

    and greater opportunities or inormation-sharing and promotion.

    Exhibitors may choose between tabletop and pipe & drape booth

    options.

    As part o our eorts to improve your visibility, we hope to have the

    ollowing additional activities to draw attention to the exhibit halls:

    Monday, April 30Networking Reception and Scavenger Hunt

    Tuesday, May 1Artisan Trade Fair

    Wednesday, May2Networking Breakast and Artisan Trade Fair

    Exhibitor Program

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    Exhibit TimesSET UP: Monday, April 30, 12 p.m.

    TEAR DOWN: Wednesday, May 2, 12 p.m.

    Exhibits Open

    Monday, April 30 4:30-8 p.m.

    Tuesday, May 1 4-7:30 p.m.

    Wednesday, May 2 8 a.m.-12 p.m.

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    Exhibitor Equipment and Fees

    All registration orms and payments must be received on or beore April 13, 2012. Exhibit space is limited and will

    be assigned on a frst-come, frst-served basis. I all the spaces are sold, you may be placed on a waiting list. Forum

    2011 spaces sold out quickly, so we encourage you to register early. Registration will be confrmed via email within

    three working days; fnal space assignments will be emailed on or beore April 20, 2012. Within three working days

    o the receipt o your registration and payment, your organizations name will be publicized on the Forum Exhibitor/

    Sponsorship section o InterActions website. Please note that i we receive your registration ater March 15, 2012,

    your organizations name will not be included in the Forum Program, but will be listed in a separate exhibitor yer

    distributed at the conerence.

    Registration Deadlines

    Exhibit SpaceAn exhibit space oor plan is included at the end o this brochure. A map o the

    available exhibitor spaces will be accessible on our website and will be updated

    regularly with sold booths to indicate vacant spaces let. Please allow at least three

    business days or your space assignment to be reected on the online map.

    2FO

    InterAction Members

    Options Fees

    Single Tabletop $820

    Double Tabletop $1,120

    Booth Pipe & Drape $1,470

    Nonmember Nonproft

    Options Fees

    Single Tabletop $1,220

    Double Tabletop $1,320

    Booth Pipe & Drape $2,020

    Corporate/Government

    Options Fees

    Single Tabletop $1,650

    Double Tabletop $2,050

    Booth Pipe & Drape $2,550

    *Additional exhibitor equipment can be obtained from our event decorator Freeman Co.

    by calling their Exhibitor Sales Department at 301-918-7900.

    The single tabletop option includes one exhibit space with 8 back drape,

    one 6 draped table, two chairs and one wastebasket.* The pipe & drape

    booth option includes 8x10 booth with 8 high back drape, 3 high side

    drape, one 6 draped table, two chairs and one wastebasket.* In addition,

    each exhibit space includes one 7x 44 one-line identifcation sign, one ullaccess registration (inclusive o conerence meals), and the organizations

    name on the Forum Exhibitor/Sponsorship section o InterActions website

    and in the exhibitor page o the Forum Program, provided that we receive

    your registration by March 15, 2012. Otherwise, your organizations name

    will be listed in a separate exhibitor yer distributed at the conerence.

    Exhibitors are able to purchase additional ull access conerence

    registration at a 15% discount. Passes or additional booth personnel

    with access to the exhibit area only (not inclusive o workshops, plenary

    sessions or conerence meals) may be purchased separately or $20 each

    in advance or or $25 each at the door.

    Individual tickets to the Gala Dinner may be purchased or $100 each.

    One ticket is automatically included with each exhibit registration. I you

    are interested in purchasing a ull table or 10 people, please contact

    [email protected]

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    Corporate/Government Nonmember Nonproft InterAction Member

    Diamond Level $100,000 Diamond Level $90,000 Diamond Level $80,000

    Platinum Level $75,000 Platinum Level $60,000 Platinum Level $50,000Gold Level $50,000 Gold Level $40,000 Gold Level $30,000

    Silver Level $25,000 Silver Level $20,000 Silver Level $15,000

    Bronze Level $15,000 Bronze Level $10,000 Bronze Level $5,000

    We oer special packages with dierent levels o support that provide excellent visibility and acknowledgement to your organization.

    BRONZE LEVEL PARTNERBronze Level Partners will receive the ollowing sponsorship benefts:

    One single tabletop exhibit (6-oot skirted table with back drape,

    two chairs and one wastebasket).

    A pre-event attendee registration list as well as a post-event

    registration list will be emailed to sponsors. Your organization

    description will be included in the Forum Program (150 words max).

    Full conerence registration or two organization representatives.

    Your organizations logo and a link to its website will be included on

    the InterAction website.

    A yer (provided by you no later than April 23) will be included in all

    conerence attendee tote bags.

    SILVER LEVEL PARTNERSilver Level Partners will receive all o the Bronze Level Partner benefts

    and the ollowing additional sponsorship benefts:

    One o the ollowing (or similar) items, which must be provided to us

    no later than April 23, 2012, will be placed in the attendee tote bags Ballpoint Pen Flash Drive

    Note Pad Calculator

    Your organizations description will be added to the Forum Exhibitor/

    Sponsorship section o InterActions website. Your organization will receive one hal-page, ull-color advertisement

    in the Forum-recap issue o Monthly Developments Magazine

    (artwork due June 1).

    GOLD LEVEL PARTNERGold Level Partners will receive all o the Bronze Level Partner benefts

    and the ollowing additional sponsorship benefts:

    One o the ollowing (or similar) items, which must be provided to us

    no later than April 23, 2012, will be placed in the attendee tote bags. Ballpoint Pen Flash Drive

    Note Pad Calculator

    Your organizations banner will be displayed and your organization

    recognized during any one reception at the conerence, provided we

    receive your sponsorship and logo by March 15, 2012. Your organizations description and up to three photographs will

    be included on the Forum Exhibitor/Sponsorship section o the

    InterAction website.

    Your organization will receive one ull-page, ull-color advertisement

    in the Forum-recap issue o Monthly Developments Magazine

    (artwork due June 1).

    PLATINUM LEVEL PARTNERPlatinum Level Partners will receive all o the Bronze Level Partner

    benefts and the ollowing additional sponsorship benefts:

    One o the ollowing (or similar) items, which must be provided to us

    no later than April 23, 2012, will be placed in the attendee tote bags.

    Ballpoint Pen Flash Drive

    Note Pad Calculator

    Your organizations banner will be displayed and your organization

    recognized during any one reception at the conerence, provided we

    receive your sponsorship and logo by March 15, 2012.

    Your organizations logo, description and hyperlink to its website,

    along with up to three photographs, will be posted on the Forum

    Exhibitor/Sponsorship section o the InterAction website.

    Your organization will receive one ull-page, ull-color advertisement

    in the Forum-recap issue o Monthly Developments Magazine

    (artwork due June 1).

    DIAMOND LEVEL PARTNERDiamond Level Partners will receive all o the Bronze Level Partner

    benefts and the ollowing additional sponsorship benefts:

    Your organizations one-color logo will be included on each

    attendees Forum tote bag, provided we receive your sponsorship

    and logo by March 15, 2012.

    Your organizations name and logo will be displayed on a large

    screen and your organization will be recognized at the plenary

    dinners throughout the conerence.

    Your organizations logo, description and hyperlink to its website,along with up to three photographs and/or a short embeddable

    video, will be included on the Forum Exhibitor/Sponsorship section

    o the InterAction website.

    Your organization will receive one ull-page, ull-color advertisement

    in the Forum-recap issue o Monthly Developments Magazine

    (artwork due June 1).

    ADDITIONAL SPONSORSHIP OPPORTUNITIESWe are happy to discuss a tailor-made sponsorship package that

    delivers the best value or your money. Some options could include

    special events, scholarships and technology options. Please contact

    Taina Alexander at [email protected] or urther details

    about these opportunities.

    SCHOLARSHIP FUND OPTIONNew this year, sponsors can designate 10%o their sponsorship

    or InterActions scholarship und. InterAction will use the und to

    assist both young proessionals with a career interest in international

    development and InterAction member sta rom the Global South

    to attend Forum 2012. Attending the Forum will provide numerous

    opportunities to learn, network and engage on issues o critical

    importance to our community.

    You will be able to opt into contributing to our scholarship und by

    ticking a box in the registration orm at the back o this brochure.

    Please contact Taina Alexander at [email protected] or

    urther details about these opportunities.

    Sponsorship Opportunities

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    As a cost-eective way to reach the over 1,000 attendees at the InterAction

    Forum, exhibitors may purchase advertising space in the ofcial conerence

    program. Please tick the corresponding box on the registration orm toreserve your space. Artwork should be sent to Zoe Plaugher at zplaugher@

    interaction.org by March 15.

    Advertise in the Forum 2012 Program

    Size Dimensions Price

    1/4 Page 3.75 x 5 $500

    1/2 Page 7.5 x 5 $750

    Full-Page 7.5 x 10 $1000

    Format.ti or .pd fles

    Color modeCMYK

    Resolution300 dpi (minimum)

    Payment must be received in ull at the time o registration.

    We also encourage you to submit an advertisement to InterActions magazine, Monthly Developments. I you opt to

    advertise in the special May issue to be distributed at the Forum, please tick the corresponding box on the registration

    orm and send your artwork to Zoe Plaugher at [email protected] byApril 1.

    Note: Complimentary advertising space in Julys Forum-recap issue o Monthly Developments is included in some

    sponsorship packages, but sponsors may wish to purchase additional advertising in the May issue that will be

    distributed at the Forum itsel. We oer a discount i you choose to run in multiple issues o Monthly Developments

    throughout the year.

    Advertise in Monthly Developments Magazine

    Size (trim size = 8.375 x 10.75) Dimensions Price

    Full-Page (centered) 7.125 x 9.5 $2175

    Full-Page (including .125 bleed) 8.5 x 10.875 $2175

    1/2 Page 7.125 x 4.626 $1315

    1/3 Page (square) 4.5 x 4.5 $1090

    1/3 Page (vertical) 2.25 x 9.5 $1090

    1/4 Page 3.5 x 4.625 $915

    Format.ti or .pd fles

    Color modeCMYK

    Resolution300 dpi (minimum)

    Payment must be received in

    ull at the time o registration.

    Advertising Opportunities

    2FO

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    The exhibitor assumes entire responsibility and liability or losses,

    damages, and claims arising rom exhibitor activities on the hotel

    premises and will indemniy, deend, and hold harmless InterAction,

    Freeman Co. and the hotel, its owner, and its management

    company, as well as their respective agents, servants, andemployees rom any and all such losses, damages, and claims.

    The hotel will not be responsible or liable or any loss, damage, nor

    claims arising out o exhibitors activities on the Hotels premises

    except or any claims, loss, or damages arising directly rom the

    hotels own negligence

    The exhibitor acknowledges that neither the Crystal Gateway

    Marriott nor InterAction maintain insurance covering each

    exhibitors property and that it is the sole responsibility o each

    exhibitor to obtain outside insurance i deemed necessary.

    The shipping and handling o all exhibit materials must be

    arranged directly with Freeman Co. in advance, or an additional

    ee. For more inormation about shipping provided by Freeman

    Co., please log on to the exhibitor homepage on our website at

    www.interaction.org/2012-orum-exhibit.

    All cancellations must be submitted in writing to InterAction.

    Please reer to the below chart or reunds entitled to your

    organization in the case o cancellation.

    Cancellation Period Reund*

    On or before April 16, 2012 50%

    After April 16, 2012 0%

    *All refunds listed above are a percentage of the booth price only. No refund

    for additional booth passes.

    8

    Insurance & Liability

    Shipping Information

    Cancellation & Refunds

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    A/V, electrical equipment, high-speed Internet and telephone services can be obtained by contacting Chris White at

    [email protected] and by phone 703-271-5194, or you can download the appropriate orms at InterActions

    website at www.interaction.org/2012-orum-exhibit and ax them to Marriott accounting at 703-271-5235 to make

    payment arrangements.

    I you need assistance in setting up your exhibits/displays, please schedule with Chris White at William.c.white@

    marriott.com and by phone 703-271-5194 prior to arrival.

    InterAction has secured a special rate o $249.00 + tax per night (single or double room) or our event. To guarantee

    this rate, you must make your reservation as early as possible, but no later than April 8, 2012, Please go to the

    Marriott website at http://www.marriott.com/hotels/travel/wasgw-crystal-gateway-marriott/ and register using promo

    code intinta. Cancellations must be made 24 hours prior to your scheduled arrival. InterAction assumes no

    responsibility, fnancial or otherwise, or hotel arrangements

    For any additional inquiries about accommodations, contact:

    Crystal Gateway Marriott

    1700 Jeerson Davis Highway

    Arlington, VA 22202

    Phone: 1-800-228-9290

    Fax: 703-271-5212

    Audio-Visual& Other Services

    HotelAccommodations

    I you would like to order additional booth equipment, please contact the

    Freeman Exhibitor Sales Department at 301-918-7900.

    Additional Booth Equipment

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    Yellow = Pipe & Drape Booths Gold = Tabletop Red = Food, beverageand attendeegathering spots

    Exhibit Hall Layout

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    INFORMATION

    First Name _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_Last Name _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_

    As you wish to appear on your name tag at the orum

    Title _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_Organization _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_

    _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_Member Nonmember nonproft

    Corporate Government

    Address _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_ _|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_

    City _|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_State _|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ | Zip _ |_|_ |_ |_

    Tel _______________Fax _______________

    Email _|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_|_Registration confrmation will be sent via email

    EXHIBIT OPTIONS(For exhibitor ees, please see the exhibitor brochure)Check one: InterAction Members

    Nonmember nonproft Organizations

    Corporate

    Government

    Check one: Single Tabletop Double Tabletop Booth Pipe & Drape

    BE A SPONSOR AT THE INTERACTION FORUM

    Corporate/Government Nonmember Nonproft InterAction Member

    Diamond ($100,000) Diamond ($90,000) Diamond ($80,000)Platinum ($75,000) Platinum ($60,000) Platinum ($50,000)

    Gold ($50,000) Gold ($40,000) Gold ($30,000) Silver ($25,000) Silver ($20,000) Silver ($15,000) Bronze ($15,000) Bronze ($10,000) Bronze ($5,000)InterAction Scholarship Fund

    Please designate 10% to InterActions Scholarship FundNew this year, you will have an opportunity to designate 10% o your

    sponsorship or InterActions scholarship und. InterAction will use

    the unds to assist both young proessionals with a career interest in

    international development, and InterAction member sta rom the Global

    South to attend Forum 2012.

    ADVERTISING OPPORTUNITIES Advertise in the Forum 2012 Program Advertise in Monthly Developments 1/4 Page ($500) 1/4 Page ($915) 1/2 Page ($750) 1/3 Page ($1090) Full Page ($1000) 1/2 Page ($1315)

    Full Page ($2175)

    ADDITIONAL

    FULL CONFERENCE

    REGISTRATION

    Exhibitor registration deadline is April 13.

    Cancellations must be submitted by email

    to [email protected] by April 16.

    Need extra tickets?

    GALA PLENARY & AWARDS BANQUET Full Table (9 Additional seats or $800) Additional SeatTickets are $100 each. How many? ____

    TOTAL $ ___________

    BOOTH PERSONNEL PASSES

    First Name _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_Last Name _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_

    Title _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_Organization _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_ _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_

    First Name _|_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_Last Name _|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_

    Title _|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_Organization _|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_ _|_ |_ |_ |_ |_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_

    There will be $20 charge or each additional booth personnel. Please include in your total payment.

    PAYMENT INFORMATION VISA Master Card American Express

    Card Holders Name_ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_Credit Card Number _ |_ |_ |_|_|_ |_ |_ |_|_ |_ |_ |_ |_|_ |_ |_ |_

    Expiration Date ____/____/______Card Holders Signature ________________________

    Date ____/____/______

    Make checks payable to InterAction

    Be sure to write EXHIBITOR PROGRAM in the memo feld. Send payments to

    InterAction, Attn: Forum Registrar

    1400 16th Street, NW, Suite 210

    Washington, DC 20036 USA

    Tel: 1.202.667.8227

    Forum 2012Exhibitor Registration Form

    Please indicate your preerence or booth location/tabletop location:1st_____________2nd_____________3rd_____________

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  • 8/3/2019 Forum 2012 Exhibitor Brochure

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    2012FORUM