Registration 2023 – Inland Rivers, Ports & Terminals, INC.

General Information

Company Name:*

Name*

First Last

Address:*

Street Address Address Line 2 City State ZIP Code

Email Address:*

Enter Email Confirm Email

Phone Number:*

Registration Type*

General Registration

Sponsor Registration

For exhibit information, please contact Aimee Andres at (618) 980-6523 or aandres@irpt.net

Sponsor Registration

Sponsor Name*

Contact Name*

First Last

Sponsorship Level*

Table Sponsor - $500

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Exhibit Information

I will not have an exhibitor table

I will have an exhibitor table

For exhibit information, please contact Aimee Andres at (618) 980-6523 or aandres@irpt.net

Exhibitor Registration

Exhibitors will be provided with a standard, skirted 8x8 trade show booth, 1 covered 6’ table and 2 chairs. Stand-alone exhibits are welcome with prior notice. Each booth includes electric and one conference admission. Exhibit cost is $3,500.00.

Exhibit Times

Tuesday, September 19: Set-up begins at 10:00 am
Wednesday, September 20: 9:00 am – 5:00 pm
Thursday, September 21: 9:00 am – 5:00 pm
Friday, September 22: 9:00 am – 12:00 pm Exhibitor Breakdown

Each paid exhibitor will only have one complimentary admission to the conference, a $625 value.

Registrant Name*

Company Name*

Note - Reception, Lunch and Learn, and Diamond Sponsors receive (1) free exhibit booth. This deduction will be adjusted at the end of the form.

Exhibit Cost

Price:

Hidden

Exhibition Tables*

Conference Registration

I am going to be registered as:*

Member

Non-Member

Federal Government Employee

Select the total number of attendees (including yourself).

Reception Sponsors receive (4) free conference admissions.
Lunch and Learn & Diamond Sponsors receive (2) free conference admissions.
Gold Sponsors receive (1) free conference admission.

These deductions will be adjusted at the end of the form.

Conference Attendee (members)

Price:

Number of attendees (members)*

Excluding Spouse/Partner

Conference Attendee (non-members)

Price:

Number of attendees (non-member)*

Excluding Spouse/Partner

Conference Attendee (federal government employee)

Price:

Number of attendees (federal government employee)*

Excluding Spouse/Partner

Name (Attendee #1)*

First Last

Name (Attendee #2)*

First Last

Name (Attendee #3)*

First Last

Name (Attendee #4)*

First Last

Name (Attendee #5)*

First Last

Name (Attendee #6)*

First Last

Name (Attendee #7)*

First Last

Name (Attendee #8)*

First Last

Name (Attendee #9)*

First Last

Name (Attendee #10)*

First Last

Spouse/Partner Fee (Optional)

Yes, my spouse/partner will attend. $175

No, my spouse/partner will not attend.

Spouse/Partner Name*

First Last

Payment Section

Method of Payment*

Check by Mail

Credit Card

Credit Card + 3% Convenience Fee

Credit Card Address*

Same as previous

Street Address Address Line 2 City State ZIP Code

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Please send payment to: IRPT: 4625 Lindell Boulevard Central West End, Suite 200 - #2179 St. Louis MO 63108 .
Questions? Please call Aimee at 618-980-6523 or email aandres@irpt.net

Subtotal

$0.00