EXHIBITOR REGISTRATION FORM
20th Annual National
Health Benefits Conference & Expo (HBCE)
January 31 - February 1, 2011
Sheraton Sand Key Resort - Clearwater Beach, FL
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PRINT FORM
AND MAIL OR
FAX TO:
941-484-1410
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EXHIBITOR FEES: Three Choices: $2,395 for a 10' (wide) x 8' prime or corner space; $2,195 for a 10' (wide) x 8' interior
space or a prime 8' wide table-top space; or $1,995 for a few 8' wide table-top spaces. All exhibit spaces include a 6' draped
table, chairs, etc. Registration also includes 2 full access Conference registrations.*
Please contact HBCE at 941-484-1430 or info (at) HBCE.com and request the Exhibit Hall layout to select your space. Your
chosen space will be reserved upon receipt of payment.
Meet current and future clients. Join the best employer purchasers, peers and potential partners.
Company Name_______________________________________________________________________________________
Two registrants* if known (name & title)_____________________________________________________________________
____________________________________________________________________________________________________
Address (for correspondence)____________________________________________________________________________
____________________________________________________________________________________________________
Contact Person (if different from above)____________________________________________________________________
Phone:__________________________________________________Fax_________________________________________
E-mail(s):____________________________________________________________________________________________
Please make CHECKS payable to: or pay by CREDIT CARD and mail or FAX to: 941-484-1410
Health Benefits Conference & Expo Credit Card: ( circle or check) MC___ VISA___ AMEX___
Card No.________________________________________
Send to: 500 The Esplanade, Ste. 205
Venice, FL 34285-1533
CVV # ( 3 #s on back), except AMEX ( 4 #s on front ):______
Phone: 941-484-1430 Exp. Date__________________Total $_________________
Fax: 941-484-1410 Signature_________________________________________
E-mail: info (at) HBCE.com Name on Card ____________________________________
*All Other Staff from your Company may attend @ $250 each. THANK YOU FOR YOUR PARTICIPATION AND SUPPORT
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