Tech Symposium Exhibitor Request Form

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Company & Billing Information

Company Name:*

If you do not see your company/organization in the list, please select Other and enter in the name.

Please specify your Company Name:*

Exhibit Booth Member Fee - $3,500
Exhibit Booth Non-Member Fee - $5,000
Please CLICK HERE to renew your Corporate membership.

Billing Company Name: *

Same as Company Name

Billing Company Email Address for Invoice:*

Billing Company Phone:*

Extension:

Address 1:*

Address 2:

City:*

State:

Postal Code:*

Country:*

Upload Company Logo*:

Best View Image Size 300px x 300px (.jpg or .png)

Main Point of Contact (POC) Information

Main POC Name:*

Main POC Mobile Phone:*

Main POC Email Address:*

Marketing Point of Contact (POC) Information

Same as Main POC:*

Marketing POC Name:

Marketing POC Mobile Phone:

Marketing POC Email Address:

Additional Point of Contact (POC) Information

Additional POC Name:

Additional POC Mobile Phone:

Additional POC Email Address:

Exhibit Booth Selection

Booth Choices:

Notes:

Competitor/Associate Proximity

List any Exhibitor you wish to be near (Associates):

List any Exhibitor you DO NOT wish to be near (Competitors):

SPACE ASSIGNMENT PRIORITY

Rank (1-3) Beginning with the most important criteria for space assignment:

Floor Location:

Competitor Proximity:

Associate Proximity:

Product Categories

(Select up to 5)

Organization Type

PAYMENT & INVOICING

Payment Type*

Credit Card (Includes 2.9% Processing Fee) ACH Invoice/Check (Make checks payable to Air Traffic Control Association) Purchase Order

Subtotal ($):

Discount/Coupon Code:

Discount Amount:

CC Fee (2.9%) ($):

Total Amount Due ($):

CANCELLATION & REFUND POLICY

Application fees are non-refundable. Cancellations submitted via email by September 5, 2025, will receive a refund minus as 25% administrative fee. No refunds will be issued after September 5, 2025. Send cancellation requests to sandra.strickland@atca.org AND rugger.smith@atca.org.

EXHIBITOR REQUEST INFORMATION

Thank you for your support of the 2025 Technical Symposium. By submitting this form, you are confirming your exhibit booth selection and accepting the 2025 ATCA Event Terms and Conditions

Name:*

Title:*

Signature:*

I have read the Terms and Conditions set forth for this Exhibitor Application for the ATCA Technical Symposium, and I hereby accept.

Contract Status:

Booth Assigned

Response Reason

Transaction ID

Payment Status

Add remark

PO.No:

Discount Amount:

Send Confirmation Email

Your Exhibitor Application is not considered complete until you click “SUBMIT”.