SPONSOR REGISTRATION FORM

Southeastern Water Pollution Biologists Association Conference

Tuesday, October 24th – Thursday October 26th, 2017

Green Turtle Bay Resort in Grand Rivers, KY

$500.00 Attending Sponsor registration includes

  • Regular conference registration for one person
  • Session attendance
  • Field trip (Wednesday afternoon)
  • One Banquet ticket (extra at regular additional cost)
  • Complimentary t-shirt*
  • Presentation slot (if schedule permits)
  • Table in main conference space or adjacent area
  • Full page ad in conference program
  • Extra person registration and banquet ticket can be added on at regular conference rates

*the T shirt order form will be sent separately when T shirt design is finalized in early September.

$250.00 Sponsorship Includes

  • Full page ad in conference program

$100.00 Sponsorship Includes

  • Partial page ad in conference program

If you are attending, please submit this form by October 5th. We cannot guarantee T shirt and banquet attendance for attendees registering after October 5. Send form via email to Lara Panayotoff at . Payments may be made in advance (see below) or upon arrival (CHECKS ONLY).Non-attending sponsors please submit by October 17thtoallow time to prepare the program ads.

Space requirements: if attending, please describe your space needs and other requirements for your table in the section at the end of this form.

Ads: When emailing this form, also include a high quality image of your ad for the conference program.

Payment Information: Checks should be made out to Lara Panayotoff, SWPBA 2017 President, and mailed to Lara Panayotoff, 259 Smith Ave, Frankfort, KY 40601 (if not paying in person).

Name:
Organization:
Address:
Phone:
Item / Cost
Sponsorship level / $500.00/250.00/100.00
Extra registration / $100.00
Extra Banquet Ticket / $25.00
Grand Total

Field Trip Preference:

____ Land Between the Lakes Tour and Planetarium Show (

____ Tour of KY Lake and Lake Barkley Dams

  • A minor background check is required for the dam tours. At least 10 days prior to the tour submit the following information to Katie McKone at : Full Name, Date of Birth, DL#, and State. For non US citizens, a Passport or Visa information will need to be provided.
  • Only 50 spots are available for the dam tour. Your spot will be reserved once your information for the background check has been provided.

Indicate dietary restrictions, if any: ______

Table space and other requirements:

Accommodation Information

The Conference will be held at Green Turtle Bay Resort –

1-, 2-, 3-, and 4-bedroom condos are walking distance to the resort conference center. When calling to make reservations please be sure to indicate you are with “SE Water Pollution Biologists” to get the discounted rates. Please see the SWPBA website ( for detailed lodging information, including rates, deposits, cancellation policies, and a map of the resort.

Important Dates

October 5th

Registration Form, T-shirt Order Form

Presentation Title

October 10th – Dam Tour registration (background check information to Katie)

October 17th

Room Reservation

Last chance for late presentation request

Submit photo digitally for inclusion in photo contest

October 24th – Meeting begins at 8:30am!