Peer Summit Exhibitor Registration – Missouri Credentialing Board

Conference Exhibitor Registration

Company Name:(Required)

Contact:(Required)

First Last

Address:(Required)

Street Address Address Line 2 City State ZIP Code

Phone Number:(Required)

Email:(Required)

Sponsorship Opportunities:

Please select your Exhibitor Level:(Required)

Corporate $1,600 (3 attendees)

Partner $1,100 (2 attendees)

Business $850 (1 attendee)

Non-Profit $750 (1 attendee)

I agree with the terms and conditions as outlined in this agreement and by the MATCP Exhibitor Rules and Expectations on page 7.

Please sign here

Conference Attendee # 1:

You must complete one conference registration for EACH conference attendee.

Name(Required)

First Last

Title(Required)

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Conference Attendee # 2:

You must complete one conference registration for EACH conference attendee.

Name(Required)

First Last

Title(Required)

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Conference Attendee Number 3:

You must complete one conference registration for EACH conference attendee.

Name(Required)

First Last

Title(Required)

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Additional Conference Attendees:

You must complete one conference registration for EACH conference attendee.

Would you like additional a conference attendees?

Each additional representative who wants to attend the conference will incur a fee of $199.

No thank you.

Yes, I would like to add additional representatives at $199 each.

How many additional representatives would you like to add?(Required)

Each additional representative who wants to attend the conference will incur a fee of $175.

1 additional representative - $199

2 additional representatives - $398

Name(Required)

First Last

Title(Required)

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Second Additional Representative

Name(Required)

First Last

Title(Required)

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Registration Fees

Subtotal

$0.00

A 3.5% service charged will be applied to all payments made by credit card.(Required)

Price: $0.00

Total

Conference Registration

Credit Card

CANCELLATION POLICY & TERMS OF PAYMENT: Please note that once registered, no refunds will be issued for any reason. However, registration transfers will be permitted until August 30, 2026.