2024 EXHIBITOR REGISTRATION FORM

42nd Annual South Central Joint Mine Health & Safety Conference

March 25 – 27, 2024 ~CHOCTAW CONFERENCE CENTER ~ Durant, OK

NOTE: Each TABLETOP booth includes one draped table (6 or 8 ft table), two chairs, all draping will be black. IF YOU PREFER A DIFFERENT ARRANGEMENT please specify below; we will notify you if there is an additional charge to accommodate your special needs:
Company Name:*
Company Mailing Address*
Street Address Address Line 2 City State ZIP Code
Primary Person (Point of Contact):*
First Last
Email*
Phone*
Description of Company*
Please provide a brief description of services and / or products the company offers as soon as possible to post to our "2025 LIST OF EXHIBITORS". This includes website, mailing address you wish to have listed, Phone number and email address
FEES:
Booths : $895 /each Quantity*
Basic Fee includes One Participant Registration per booth includes all meals & refreshments served by the Conference, including attending any sessions or workshops. DISCLAIMER: By Registering for the conference, you understand photographs will be taken and used on our website. All Company and personal information will be protection. WE DO NOT SHARE ANY LIST OF PARTICIPANTS. Thank you for your support!!
Price: $895.00
Requested Booth Numbers*

Please list the booth or booth numbers requested
Additional Participant: $375 each Quantity
Includes all meals & refreshments served by the Conference, including attending and any sessions or workshops. DISCLAIMER: By Registering for the conference, you understand photographs will be taken and used on our website. All Company and personal information will be protection. WE DO NOT SHARE ANY LIST OF PARTICIPANTS. Thank you for your support!!
Price: $375.00
There are 20 table top booths available first come first served. All booths are priced at $895.00 Please Use online form for both fees. DEADLINE TO REGISTER FOR A BOOTH IS March 1, 2025.

Booths must be PAID IN FULL to be added to our website Exhibitor Hall Diagram
By registering for the conference, you understand photographs will be taken and used on our website.
REQUIRED FOR NAME BADGES:
Name & Title of each Attendee
Card Billing Information
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Total Due
$0.00
Credit Card
Name
This field is for validation purposes and should be left unchanged.

You can start booking reservations in the Individual Pay Block, either by call-in or you can make them online. The following is the online reservation steps for guests. Guests will also have the option of contacting our reservation department open 24 hours a day by calling 1-800-788-2464 press #1 and giving the agent the offer code SAFE24 for the group rate.

If you would like to book your reservations online, please use the link below and enter the offer code SAFE24. The room rate is $107/ per night with the resort fee of $14.99.

https://book.rguest.com/onecart/wbe/offers/1180/Choctaw-Durant-Book

By registering for the conference, you understand photographs will be taken and used on our website. ALL PERSONAL INFORMATION WILL BE PROTECTED THANK YOU FOR YOUR SUPPORT!!!!

Cancellation Policy: NO REFUNDS after February 1, 2024

Booths must be PAID IN FULL to be added to our website Exhibitor Floor Diagram

2024 EXHIBITOR REGISTRATION FORM

FEES:

Card Billing Information

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