2026 EXHIBITOR REGISTRATION FORM

plug-free-img.png

Annual SCJMHS Conference

44th Annual South Central Joint Mine Health & Safety Conference

April 13-15, 2026 ~CHOCTAW CONFERENCE CENTER ~ Durant, OK

2026 EXHIBITOR REGISTRATION FORM

44th Annual South Central Joint Miner’s Health & Safety Conference April 13 – 15, 2026 ~ Choctaw Conference Center ~ Durant, OK

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

NOTE: Each 6 or 8 Ft TABLETOP booth includes one draped table (optional undraped) and one chair; 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.

Exhibitors are responsible for their own hotel reservations at the Choctaw Conference Center in Durant, OK.

Company Mailing Address – Street or PO Box*
Primary Person (Point of Contact)*
Pease provide a LOGO & brief description of services and/or products the company offers as soon as possible to post to our '2026 LIST OF EXHIBITORS' webpage.
Accepted file types: png, jpg, jpeg, svg, Max. file size: 10 MB.
Upload a high-resolution logo for the 2026 Exhibitors page. Max 10 MB. Allowed: .png, .jpg, .jpeg, .svg

FEES:

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!!
Please enter a number from 1 to 10.
First Come First Serve
Please list the booth or booth numbers requested
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

By registering for the conference, you understand photographs will be taken and may be used on our website.

Payments can be made by credit card on our website www.scjmhsc.org.

ALL PERSONAL INFORMATION WILL BE PROTECTED. THANK YOU FOR YOUR SUPPORT!

Cancellation Policy: NO REFUNDS after March 20, 2026. Booths must be PAID IN FULL to be added to our website Exhibitor Floor Diagram.

Acknowledgements*
Please confirm you agree to the conference policies, privacy, and cancellation terms.
REQUIRED FOR NAME BADGES*
First Name
Last Name
Phone #
 
Enter the Name & Title of each Attendee.

Card Billing Information

Name*
Receipts and invoices will be sent to this address.
Address*

Have questions?

Contact Us
Scroll to Top