Windy City Podiatry Conference
Exhibit Space Application
Oct 17-20, 2024
The Westin Chicago Lombard
Lombard, IL
THIS FORM MUST ACCOMPANY YOUR PAYMENT
To confirm your reservation submit this form to Karen Daniel at k.daniel@podiatryinstitute.com or fax to 404-508-8539.
Registration received less than 2 weeks prior to meeting will not be included in conference materials.
Exhibitor Fee (Table Top, No Sharing) = $1350 by check or credit card. Full payment must accompany this completed
form. $1500 if application received after September 7, 2024 or onsite.
Payment Method
My Check in the amount of $____________ Payment enclosed
Please make check payable to
: The Podiatry Institute Federal Tax ID #58-1906272
Charge Visa Master Card American Express Discover
Credit Card Number ________________________________ Exp. Date _____ / _____
Cardholder Name _______________________________ Signature ____________________________
Mail Check & Application to: The Podiatry Institute
2675 North Decatur Rd. Suite 309 Decatur, GA 30033
The Following Company Information Will Be Printed In The Conference Program:
(
Company Name)
____________________________________________
(
Street Address)
__________________________________________________
(
City
) _____________________________________ (
State)
_______ (
Zip
) ______________
(
Office Phone
) ______ - ______ - __________ (
Website
) ____________________________
25-word description of product or service ___________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Representative(s) Name _____________________ Email _______________________ Cell Phone ________________
at Conference:
Name _____________________ Email _______________________ Cell Phone ________________
Send email to k.daniel@podiatryinstitute.com
names/emails of any additional representatives
Information For Your Company Virtual Booth: Attach or send link of PDF(s) to us (call if you have questions)
(Optional) Attach 5-min. max promo video, or put link here to video: _______________________________________
Company Contact ________________________________ Title _______________________________
Email ______________________________________________
Companies You Prefer Not To Exhibit Next To: __________________________________________
Electricity Required? Yes No
For more sponsorship information contact: Dan Vickers at The Podiatry Institute
770-939-0393
dvickers@mindspring.com
THE PODIATRY INSTITUTE
PI W-9 Form
Windy City Podiatry Conference
Exhibitor Prospectus
Oct 17-20, 2024
The Westin Chicago Lombard
Lombard, IL
All food functions will be held in the exhibit hall to maximize your contact with attendees.
There are a number of opportunities available to sponsor conference events & speakers. Call Dan
Vickers at 770-939-0393 for more information.
CANCELLATION POLICY: All cancellation/rescheduling requests must be made in writing.
Cancellation requests can be sent via fax to 404-508-8539 or email to k.daniel@podiatryinstitute.com
.
Cancellations requiring a refund will be assessed a $250 cancellation fee. Transfer requests are not
subject to a cancellation fee and will be valid for a period of one year from the date of issue.
Registration fees are non-refundable/non-transferrable within two weeks of the conference start date.
The Podiatry Institute reserves the right to refuse exhibit space if the vendor’s product, service, or
display/booth is not consistent with the character of the event.
Exhibit Table Top Fee = $1350 by check or credit card. Includes 6’ draped table, two chairs and electricity if
needed. $1500 if application received after September 7, 2024 or onsite. No sharing.
Exhibit materials weighing 150 lbs. or more and/or being shipped via pallet/crate may be subject to additional
charges from the hotel’s receiving department
.
Exhibit Registration Full payment for your exhibit must accompany space confirmation agreement.
Applications will be accepted until space is sold out.
Exhibit Schedule: Thursday, October 17 10:00 AM - 12:00 PM Setup
12:00 PM - 1:00 PM Exhibit Hall Opens
3:30 PM - 4:00 PM Afternoon Break
7:00 PMExhibit Hall Closes
Friday, October 18 7:00 AM - 7:30 AM Breakfast in Exhibit Hall
10:00 AM - 10:30 AM Morning Break
12:45 PM - 1:45 PM Lunch with Exhibitors
4:00 PM - 4:30 PM Afternoon Break
5:00 PM Exhibit Hall Closes
Saturday, October 19 7:00 AM - 7:30 AM Breakfast in Exhibit Hall
9:30 AM - 10:00 AM Morning Break
11:00 AM Exhibit Hall Closes
Sunday, October 20 Optional
Conference Hotel The Westin Chicago Lombard
70 Yorktown Center
Lombard, IL 60148
1-630-719-8000
Podiatry Institute Rate: $169
Please make your reservation NOW! Cut-off date – 09-25-2024
Shipping Information For Further Information
The Westin Chicago Lombard Dan Vickers, CAE
70 Yorktown Center Executive Director
Lombard, IL 60148 The Podiatry Institute
Attn: Dan Vickers, Podiatry Institute Conference 2675 North Decatur Rd., Suite 309
October 17-20, 2024 Decatur, GA 30033
770-939-0393
Please arrange ahead with your shipping company
for pickup from the hotel at the end of the meeting.
THE PODIATRY INSTITUTE
