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    IIABW / PIA Joint Conference & Expo

    The IIABW and PIA Western Alliance have collaborated to bring you an exceptional conference!

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    Industry Expertise, Leadership and Innovation...

    One that combines industry expertise, leadership and innovation more effectively and specifically for the independent insurance agent and the companies they serve.
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    Face Time With Customer Agents and Company Representatives...

    The joint convention maximizes valueable face time with customer agents and company representatives with access to hundreds of agents.
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    Visibility And The Power Of Partnership...

    This event will provide the visibility and the power of partnership by proving to the agency community your commitment to a quality program.
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    Our conference location

    offers stylish comfort and state of the art facilities. Don't miss out, register early!
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    Network With Our Partners, Customer Agents And Company Representatives

    Events specifically centered around the exhibition hall to maximize your time.

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    Learn About The Latest Legislation...

    In our one of a kind conference sessions, learn about the latest legislation affecting your business.


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    "Twice the resources and double the opportunity"



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    Independent Insurance Agents & Brokers of WA & Professional Insurance Agents of WA/AK Joint Conference and Trade Show


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Exhibitor Registration

Please fill out the following information completely.

EXHIBIT BOOTH INCLUDES: draped 8 x 10 booth - 8'high back drapery; 3' high sidewall drapery, skirted 6' table, two chairs, waste can, and signage. PLUS: ONE complimentary full registration. Additional booth attendees must register separately. Online exhibit booth registrations are highly recommended to secure your booth preference. Please note that booth registrations and preferences are not guaranteed until full payment has been received. LCD Exposition Services will be contacting you with their complete exhibitor packet. Booth incidentals must be arranged directly with LCD Exposition Services.

Company / Firm Booth Information

*Company / Firm Name

*Booth Contact First Name

*Booth Contact Last Name

Company / Firm Address

*City

*State

*Zip

*Telephone

Fax #

E-Mail Address

Describe Company / Firm's Products and Services To Assist Us With Floor Placement:

Exhibit Booth:

PIA or IIABW Member Booth 8 x 10 - $1100.00  
(If you are unsure of your company membership status with either organization, please email us to verify. An invoice will be sent for the difference in member/non member pricing if membership cannot be verified.)

PIA or IIABW Non-Member Booth 8 x 10 - $1300.00  

Total:

Complimentary Registration Information

Exhibit booth registration includes 1 person from your organization to attend the entire conference complimentary (excluding golf). Please complete this section on who will be attending complimentary.

If the complimentary registrant plans to golf, please register and pay for them separately under the Registration tab of the website. Thank you.

To register and pay for any additional exhibit booth staff, please register them separately under the Registration tab of the website.

Same as the company contact: 

*First Name

*Last Name

*Badge Name

Designations:

Address

*City

*State

*Zip

*Telephone

Fax #

E-Mail Address

WAOIC#:

CANCELLATION POLICY: subject to a 100% cancellation fee unless we are able to sell the booth space to another vendor by 8/1/12, in which case a refund of 85% will be issued on cancellation requests received at IIABW OR PIA by 5:00 p.m. on 8/1/12. Sorry no refunds after 8/1/12. Golf registration fees are non-refundable.