The 2nd Annual Gwinnett County Leadership and Safety Conference

Jan. 22-24, 2010

VENDOR APPLICATION

Vendor Applications will be taken on a first-come, first-serve basis. Payment must be sent in with the application. An e-mail confirmation will be sent. Applications must be turned in by December 1, 2009. Place an “X” at the desired level of participation.

Please PRINT or TYPE clearly:

COMPANY NAME: ______

ADDRESS: ______

CONTACT PERSON: ______PHONE: ______

*E-MAIL:______FAX: ______

Platinum, Gold, and Silver early registration discounts: 10% if paid for by June 12, 2009 and 5% if paid for by July 10, 2009 (excludes additional lunches).

Platinum Level $2,000 Please Check ( )

Ø  30 minute presentation (3 slots available on first come, first serve basis)

Ø  2 TABLES

Ø  NAME AND LOGO/LINK on FireServiceSLT.com HOME PAGE (6 months)

Ø  NAME AND LOGO on Conference Brochure (1 page)

Ø  SPECIAL RECOGNITION at the Conference Opening and Podcast.

Ø  Lunch provided up to 4 and admission to speakers

Gold Level $1,500 Please Check ( )

Ø  2 TABLES

Ø  NAME AND LINK on FireServiceSLT.com sponsor page (3 months)

Ø  NAME AND LOGO on Conference Brochure (1/2 page)

Ø  SPECIAL RECOGNITION at the Conference Opening and Podcast.

Ø  Lunch provided up to 2 and admission to speakers

Silver Level $1,000 Please Check ( )

Ø  TABLE

Ø  NAME AND LINK on FireServiceSLT.com sponsor page (2 months)

Ø  NAME AND LOGO on Conference Brochure (Business card size)

Lunch provided up to 2 and admission to speakers

Individual Levels – 5% Discount if paid for by July 12, 2009 (excluding additional lunches).

Ø  TABLE

$500 ( )

Ø  NAME AND LINK on FireServiceSLT.com for 6 months

$500 ( )

Ø  NAME AND LINK on FireServiceSLT.com for 3 months

$450 ( )

Ø  NAME AND LINK on FireServiceSLT.com for 1 month

$400 ( )

Ø  NAME AND LOGO on Conference Brochure (1 page)

$350 ( )

Ø  NAME AND LOGO on Conference Brochure (1/2 page)

$300 ( )

Ø  NAME AND LOGO on Conference Brochure (Business Card)

$225 ( )

Ø  Additional Lunch for Conference

Quantity______X $56 ____ ( )

Table Representatives Name Badges needed: (Please PRINT CLEARLY)

NAME: ______NAME:______

NAME: ______NAME:______

TOTAL AMOUNT DUE: ______

Setup: Jan. 21, 0800-1700 Breakdown: Jan. 24, 1600

MAKE CHECK PAYABLE TO: FireServiceSLT

If you have any questions please contact Brian Ward at 770-614-2306 or visit FireServiceSLT.com and go to contacts page. Mail Applications to:

Brian Ward

3608 Braselton Hwy.

Dacula, GA. 30019

Gwinnett Civic Center Quick Facts: Located at 6400 Sugarloaf Parkway, Duluth, Georgia 30097

Ø  30,000+ square feet of meeting space

Ø  9 Covered loading docks

Ø  Table area is 10’ x 10’ (All skirted)

Ø  Wireless internet and power supplies

Ø  Conveniently located off Interstate 85, (30 minutes from Downtown Atlanta)

Ø  Free Parking

Ø  5 Hotels within 1 mile radius, most with free shuttle

Ø  20+ restaurants within 2 mile radius