2024 VMCA Sustaining Membership and Conference Registration/Exhibitor Form
- Conference Dates: February 20-22, 2024
- Conference Location: Hilton Virginia Beach Oceanfront, Virginia Beach, Virginia
- Contact us at (757) 514-7608 or VirginiaMosquito@gmail.com 
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Last Name *
First Name *
Organization or Affiliation *
Mailing Address (Number, Street, City, State, Zip)
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Phone Number *
Sustaining Membership 
- Includes conference registration and VMCA membership for one representative (with voting rights)
- Full commercial package includes exhibitor table/space during the annual conference
- 5 minute presentation during commercial presentation session of annual conference
- Listed in newsletters, website, and conference agenda
- Early bird pricing only available if you register and pay by 1/26/2024
- Regular pricing applies for registrations after 1/26/2024

Please choose one option from the following:
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Additional Amenities

Exhibit table with electricity
- Electricity at your table can be provided for an additional $30/day. If interested, please select below.
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Additional conference registrations:
- Sustaining members wishing to bring more than one representative to the conference. 
- Includes VMCA regular membership
- Early bird pricing only available if you register and pay by 1/26/2024
- Regular pricing applies for registrations after 1/26/2024
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Names and Emails of Additional Conference Registrations
Sponsorship Opportunities for the 2024 VMCA Conference 

Please consider sponsoring an event during the 2024 VMCA conference. Choose below if you would like to sponsor a $250, $500, or $1,000 event. If you would rather select “other”, please indicate the amount. Each sponsorship will be used for a particular event with your company logo displayed at the event. Possible events are listed below. If you have a preferred event, please indicate in the space underneath (first come first serve).  Sponsorships will be used to cover the cost of food and beverages during that event.


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Sponsorship Opportunities for the 2024 VMCA Conference 

If you have a preference in events, please indicate those events in the space underneath (first come first serve).  
I understand that payment is due for this Membership. In order to qualify for early-bird pricing, all payments must be received or postmarked by 1/26/2024. 
 
Upon submitting this form, you will be directed to a payment link to pay via PayPal (or credit card). If you prefer to pay via cash or check,  you can close the webpage and you will be emailed an invoice with your order total. Cash or checks can be dropped off or mailed to: Jay Kiser, Suffolk Mosquito Control, 800 Carolina Rd. Suffolk, VA 23434. Checks should be made out to Virginia Mosquito Control Association. 
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