Wisconsin Optometric Association Vendor Registration - 2017 Wisconsin Optometric Association Convention and Annual Meeting

Please carefully read the list below and check off the appropriate items:

The 2017 WOA Convention and Annual Meeting is scheduled for September 21-24 at the Kalahari Resort and Conference Center in Wisconsin Dells (1-877-253-5466). Convention is our largest meeting of the year, and we expect over 350 doctors and optometric assistants to be in attendance. This is the second of two meetings held each year by the WOA where we offer an exhibit hall. There will be 50 exhibit booths available this year; therefore, early registration is highly recommended. On behalf of the WOA Board and membership, I want to thank you for your continued support of Optometry and the WOA.

Vendor Information

Company Name
Company Description
Contact Person
Email Address
Company Address
Company City
Company State
Company Zip
Daytime Phone
Fax Number
On Site Rep's Name
On Site Rep's Address
On Site Rep's City
On Site Rep's State
On Site Rep's Zip
On Site Rep's Phone
On Site Rep's Email
Name of Representatives Attending (name tags will be provided):

Optional Request for Placement

All requests will be considered, but not guaranteed.

We prefer to be placed close to the following exhibitors:


We prefer to be placed far from the following exhibitors:


Space is granted on a first come first served basis and will only be reserved once registration and payment have been made.

Please list the type of products or services you sell:


We would be interested in placing and advertisement in a seminar publication or the WOA newsletter.


Booth Requirements

$800.00 Regular Registration

Additional Booths (10 percent discount per booth)

One 110 Volt Outlet (no charge)

$30.00 for a second 110 volt outlet

Please select the length of table you would like for your booth

$35.00 per additional 6 foot table (Additional tables ordered after initial registration will cost substantially more)

$35.00 per additional 8 foot table (Additional tables ordered after initial registration will cost substantially more)

$40.00 per additional tall cocktail table (Additional tables ordered after initial registration will cost substantially more)

$55.00 pack of ten extra drink tickets (10 are included in the registration fee)

$10.00 registration fee per representative beyond the two per booth included in the registration fee

$28.00 per representative lunch (no lunches can be purchased on-site)

TOTAL COST


You will be charged: $0.00

Billing Information

Cardholder Name
Card Type
Card Number
Please only enter numbers
No spaces, dashes, slashes, etc..
Card Expiration  
3 Digit V-Code
Billing Address
Billing Zip Code