AMATYC Northeast Regional Conference 2026 Vendor Sign-up Company(Required)Name(Required) First Last Email(Required) Enter Email Confirm Email Phone(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Link to post to the conference website: Sponsorship Tier Descriptions Platinum Tier ($2500) - 1) Introduction during Keynote. 2) Logo on food tables (ex: tent cards). 3) A large advertisement in (online) conference program. 4) Promotional material distributed in conference bags. 5) Logo on conference promotional materials (examples include emails, social media posts, logo in online platform). 6) One vendor table AND one dedicated presentation time. 7) Saturday breakfast and lunch for up to four (4) staff members included. Gold Tier ($2000) - 1) Introduction during Saturday Breakfast or Lunch. 2) Logo on food tables (ex: tent cards). 3) A medium advertisement in (online) conference program. 4) Promotional material distributed in conference bags. 4) Logo on conference promotional materials (examples include emails, social media posts, logo in online platform). 6) One vendor table AND one dedicated presentation time. 7) Saturday breakfast and lunch for up to four (4) staff members included. Silver Tier ($1200) - 1) Name listed on conference promotional materials (examples include emails, social media posts, logo in online platform). 2) One vendor table AND one dedicated presentation time. 3) Saturday breakfast and lunch for up to four (4) staff members included. Bronze Tier ($750) - 1) Name listed on conference promotional materials (examples include emails, social media posts, logo in online platform). 2) One vendor table OR one dedicated presentation time. 3) Saturday breakfast and lunch for up to four (4) staff members included. Sponsorship Tier Choice(Required) Platinum Tier Gold Tier Silver Tier Bronze Tier We will be choosing individually priced options below. Platinum Tier Price: Gold Tier Price: Silver Tier Price: Bronze Tier Price: Individual add-on Items ($60 per person) Friday dinner banquet (chicken, fish, and pasta) ($1000) A large advertisement in (online) conference program ($750) A medium advertisement in (online) conference program ($500) A small advertisement in (online) conference program ($450) Extra table (must be added on to one of the tiers) ($450) Additional presentation (must be added on to one of the tiers) ($200) Promotional material distributed in conference bag Add-on 1) Price QuantityThe Quantity choosen times $60 will be added to the Total Cost below. Price: $60.00 Quantity Add-on 2) Price Price: Add-on 3) Price Price: Add-on 4) Price Price: Add-on 5) Price Price: Add-on 6) Price Price: Add-on 7) Price Price: Vendor PresentersList all persons who are to be listed as presenters in the order that they should appear in conference publications. Add RemoveTitle of Presentation(s) Add RemoveShort Presenation(s) Description for Program Booklet50 words or less summary for program booklet (Use 3rd person narrative and include information about the intended audience) Add RemoveFull Presenation(s) Description for Program Booklet300 words or less description of presentation for publication in the conference program. Add RemoveBrief vitae of each presenter (one paragraph each) Add RemovePresentation TimesIndicate the days/times that your team WILL BE ABLE to present. Friday, April 24 afternoon Friday, April 24 evening Saturday, April 25 morning Saturday, April 25 afternoon Total Cost Credit CardFeed Required: To use the Stripe field, please create a Stripe feed for this form.
