Exhibitor *

Please enter the name of your agency or organization.

Exhibitor (copy) *

Please enter the name of your agency or organization.

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Please enter your agency or organization's address.

Agency or Organization phone number

Please enter the agency or organization phone number.

Contact Person's NameName *

First

Last

Please enter the name of the contact person.

Contact person's telephone numberPhone *

Please enter the contact person's phone number.

Contact Person's Email Address *

Email

Confirm Email

Please enter the contact person's email address.

Payment MethodDropdown

What payment method would you like to use?

Instructions for paying by Check

The fee for exhibitors is $75. If you need power, the cost is $25. If you need additional tables, the cost is $25 for each additional table. For example, if you don't need power and need one table, the cost is $75. If you need two tables but don't need power, the cost is $100. If you need one table and power, the cost is $100. If you need two tables and power, the cost is $125.

Please write the number of tables and your power requirements in the memo of your check.

Please make your check payable to ACBT 2023 Conference/Convention and mail it to:
ACBT 2023 Conference/Convention
C/O Sheila Derrick
309 Paloverde Lane
Ft. Worth, TX 76112

Exhibitor Items *

Exhibitor - $ 75.00
Power - $ 25.00
Additional Table - $ 25.00

Exhibitor Items

Total

$ 0.00

ACBT Conference/Convention

Please check this box if you will not attend the conference but wish to register for the Walk for Success or purchase raffle tickets.

Are you a TWC employee

I am a TWC employee and TWC will pay for my registration.

Are you a TWC customer?

I am a TWC customer and TWC will pay for my registration.

Are you an ACBT Member?

I am an ACBT member.

Please Choose your chapter.

Please Choose your program format.

Special Medical Needs

Special medical needs, please specify.

Listening devices and guide dogs

Please check if you need an assistive listening device for the general sessions?
Please check if you will have a guide dog in attendance?

First Timers

Please check if this is your first time attending an ACBT annual in-person Conference/convention.
Please check if you will attend the ACBT First Timers Session Friday, August 26th. Reception is open to all attendees.

Registration

Conference/Convention Registration Fee - Includes all sessions - $ 65.00

Conference/Convention Registration Fee - Includes all sessions, Exhibits, Saturday Luncheon, Saturday Evening Banquet, and Sunday Morning Awards Breakfast and business meeting.

Day Pass

Friday Day Pass - $ 10.00
Saturday Day Pass - $ 10.00

Meals: DO NOT PURCHASE MEALS IF YOU PAID THE $65 REGISTRATION ABOVE.

Saturday Luncheon - $ 30.00
Saturday Evening Banquet - $ 30.00
Sunday Morning Breakfast - $ 30.00

Friday morning tour and Friday evening carnival

Friday morning tour to LBJ Library, 8:30 am -12: pm. Lunch is NOT included. - $ 16.00
Friday Evening Carnival - $ 10.00

Walk for Success

Walk for Success Entry Fee for virtual or in-person walkers. In-person event is Saturday, Aug. 26, 7:00-8:30 am - $ 10.00

Escape Room TimesMultiple Items

Challenge yourself in the Vispero escape room.

Donation per ticket(s) for Ultimate Grill Package Drawing.

Is this form complete?

I have reviewed this form and it is complete.

Is this form complete?

Instructions for paying by Check

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