Greetings from SYNERGY!

Synergy is hosting our 9th annual statewide conference October 2-4, 2019 at Kalahari Resorts & Conventions, in Sandusky, OH. Our conference will be a source of training, professional development and advocacy in the field of developmental disabilities (DD). This year’s conference will bring together a cross section of all stakeholders – people with developmental disabilities, their family members, professionals and staff of county boards of DD and providers of residential and day service settings.

Vendor exhibiting space is available on a first come, first serve basis. Tables will be assigned based on receipt of the reservation form. The conference runs Wednesday, October 2, through Friday, October 4, 2019.

Approximately twenty five 8’ exhibit tables (provided) will be arranged in the hotel’s conference area, conveniently located near a majority of the conference activities. Kalahari features FREE parking and multiple entrances around the building with parking and entryways close to the exhibit area. This makes set-up and breakdown much easier than at many other conference venues.

Table fees are: $100 for one day and $199 for two or three days. The third day is FREE! to vendors who pay the two day fee. The fees include two chairs and one 8’ table with draping. Additional Tables are available for $50 each per day. (Covers table fee only – lunches are extra.) Additional Chairs are $30 per person per day. An electrical outlet will be available if requested in advance; the cost is $15 per day.

The deadline is September 20, 2019 to submit your vendor form.

If you are human, leave this field blank.

Agency/Name *

Non Profit Tax ID#

Agency Website Address

Exhibit Contact Person *

Address *

Address Line 2

City *

State * AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Postal Code

County agency/business located in *

Phone *

Email Address *

Space is limited to the representatives in the fee per table. Up to two lunches per day is included with your vendor fee. If additional people attend your table than chairs covered by your fee, you will be charged ($30 per person per day) unless they are a registered attendee of the conference.

SESSION ATTENDANCE BY VENDORS: Vendors who want to attend sessions must pay the registration fee for the conference. Failure to register will result in an automatic charge of the registration fee.

MICRO ENTERPRISE/SELF ADVOCATE: Persons eligible for DD services may apply for financial assistance to help cover the vendor table cost for your agency/business. Contact Jeanne Stuntz at jstuntz@columbus.rr.com or 614-679-9133.

Name and job title of people attending table

Name *

First

Last *

Last

Title *

Email *

Name

First

Last

Last

Title

Email

Brief description of products and/or services to be exhibited, including price range: *

Choose one of the following price options * 1 Day - $100 2 or 3 Days - $199

Select the days you wish to attend *

Wednesday

Thursday

Friday

Additional 8ft. tables are available at $50 each per day. ($100 for 2 or 3 days!) How many additional tables, per day, do you need? * I do not require additional tables 1 additional table per day @ $50 per day 2 additional tables per day @ $100 per day

Additional chairs are available at $30 each per day (includes lunch). How many additional chairs, per day, do you need? * I do not require additional chairs 1 additional chair per day @ $30 per chair 2 additional chairs per day @ $60

Will your exhibit require an electrical outlet? (Due to an extra charge from the facility, the cost is $15 per day.) * Yes - I need an electrical outlet (cost is $15 per day) No - I do not need an electrical outlet

Cancellation Policy: Neither PAR, nor OSDA shall be obligated to refund fees for "no-show" exhibitors; nor, shall PAR or OSDA be obligated to accept cancellations and refund fees unless written notification is received at the PAR office before 5:00 PM on Monday, September 9, 2019.

Cancellation Policy *

Please check that you read and understand the cancellation policy.