Online and Check by Mail payment options available at submission. Conference Registration Form 2023 (Early Bird) "*" indicates required fields 1General Information2Sponsor Registration3Exhibitor Registration4General Registration5Payment Section6Confirmation General InformationEarly registration deadline is August 1, 2023. Company Name:* Name* First Last 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 Email Address:* Enter Email Confirm Email Phone Number:*Registration Type* General Registration Sponsor Registration Exhibitor Registration For exhibit information, please contact Aimee Andres at (618) 980-6523 or aandres@irpt.net Sponsor RegistrationSponsor Name* Contact Name* First Last Reception Sponsor $8,500 At-reception banner and signage Table runners and buffet table tents Bar signage Four Conference Admissions - $625 value each One Exhibit Booth - $3500 value Full page advertisement in Conference Program (sponsors only) One primary IRPT Membership - $825 value One affiliate IRPT Membership - $175 2023-2024 Membership Directory Ad - $1500 value Conference Banner and inclusion in backdrop Program Listing and Bio Pre-Session Speaking Opportunity or Video Pre-Conference Acknowledgement and website display Registration list 14-days prior Expand Lunch and Learn Sponsor $7,000 15-minute lunch presentation Table signage Buffet signage Two Conference Admissions - $625 value each One Exhibit Booth - $3500 value Full page advertisement in Conference Program (sponsors only) One primary IRPT Membership - $825 value One affiliate IRPT Membership - $175 2023-2024 Membership Directory Ad - $1500 value Conference Banner and inclusion in backdrop Program Listing and Bio Pre-Session Speaking Opportunity or Video Pre-Conference Acknowledgement and website display Registration list 14-days prior Expand Diamond Sponsor $6,000 Four Conference Admissions - $625 value each One Exhibit Booth - $3500 value Full page advertisement in Conference Program (sponsors only) One primary IRPT Membership - $825 value One affiliate Membership - $175 2023-2024 Membership Directory Ad - $1500 value Conference Banner and inclusion in backdrop Program Listing and Bio Pre-Session Speaking Opportunity or Video Pre-Conference Acknowledgement and website display Registration list 14-days prior Expand GoldSponsor $3,500 One Conference Admission - $625 value One primary IRPT Membership - $825 value One affiliate Membership - $175 Half page 2023-2024 Membership Directory Ad - $750 value Half page advertisement in Conference Program (sponsors only) Program Listing Conference Banner Conference Signage Pre-Conference Acknowledgement and website display Expand BagSponsor $3,000 LanyardSponsor $2,700 Hotel KeySponsor $2,500 Do Not Disturb $2,250 SilverSponsor $2,000 Program Listing Conference Signage Pre-Conference Acknowledgement and website display TableSponsor $500 Sponsor sign on table during conference Sponsorship Level* Reception Sponsor - $8,500 Lunch and Learn Sponsor - $7,000 Diamond Sponsor - $6,000 Level Gold Sponsor - $3,500 Level Bag Sponsor - $3,000 Lanyard Sponsor - $2,700 Hotel Key Sponsor - $2,500 Do Not Disturb Sign Sponsor - $2,250 Silver Sponsor - $2,000 Level Table Sponsor - $500 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 RegistrationExhibitors 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: HiddenExhibition Tables*Add the exhibit1 Conference RegistrationI 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: After August 1, 2023 the pricing will be $675.00Number of attendees (members)*Add quantity12345678910Excluding Spouse/PartnerConference Attendee (non-members) Price: After August 1, 2023 the pricing will be $725.00Number of attendees (non-member)*Add quantity12345678910Excluding Spouse/PartnerConference Attendee (federal government employee) Price: After August 1, 2023 the pricing will be $600.00Number of attendees (federal government employee)*Add quantity12345678910Excluding Spouse/PartnerName (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. $150 No, my spouse/partner will not attend. After August 1, 2023 the pricing will be $175.00Spouse/Partner Name* First Last Payment SectionMethod of Payment* Check by Mail Credit Card Credit Card + 3% Convenience FeeCredit Card Address* Same as previous 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 Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name Registration must be paid in full on or before August 1, 2023 to avoid Late Registration Fee 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.netSubtotal $0.00 Reception Sponsor - $8,500 receives (4) conference admissions $0.00 Reception Sponsor - $8,500 receives (4) conference admissions $0.00 Reception Sponsor - $8,500 receives (4) conference admissions $0.00 Reception Sponsor - $8,500 receives (4) conference admissions $0.00 Reception Sponsor - $8,500 receives (4) conference admissions $0.00 Reception Sponsor - $8,500 receives (4) conference admissions $0.00 Reception Sponsor - $8,500 receives (4) conference admissions $0.00 Reception Sponsor - $8,500 receives (4) conference admissions $0.00 Lunch and Learn Sponsor - $7,000 receives (2) conference admissions $0.00 Lunch and Learn Sponsor - $7,000 receives (2) conference admissions $0.00 Lunch and Learn Sponsor - $7,000 receives (2) conference admissions $0.00 Lunch and Learn Sponsor - $7,000 receives (2) conference admissions $0.00 Diamond Sponsor - $6,000 receives (2) conference admissions $0.00 Diamond Sponsor - $6,000 receives (2) conference admissions $0.00 Diamond Sponsor - $6,000 receives (2) conference admissions $0.00 Diamond Sponsor - $6,000 receives (2) conference admissions $0.00 Reception sponsor receives (1) exhibit booth $0.00 Lunch and Learn sponsor receives (1) exhibit booth $0.00 Diamond sponsor receives (1) exhibit booth $0.00 Gold Sponsor- $3,500 receives (1) conference admission $0.00 Gold Sponsor- $3,500 receives (1) conference admission $0.00 Each paid exhibitor will only have (1) complimentary admission to the conference $0.00 Each paid exhibitor will only have (1) complimentary admission to the conference $0.00 3% Credit Card Fee $0.00 Total {all_fields}NameThis field is for validation purposes and should be left unchanged.