2024 CAAPA Paving Conference

ONLINE REGISTRATION

Please Sponsor & Register by: Friday, April 5, 2024
Register online below, or submit Printable Registration Form to Jean Barlage: jbarlage@ctconstruction.org.
Sponsorships, ads & logos due: Friday, April 5, 2024 (morning). Submit Jean Barlage: Email: jbarlage@ctconstruction.org.
Questions? Email Jean or Call: 860-529-6855

Company Name and Registration Contact

Company Name or Public/State Organization *

Registration Contact: First and Last Name *

Email *

Cell Phone

Number of Attendees

Indicate the number of attendees and/or number of state or public officials below. Program and Platinum sponsors get a table of 10 included with sponsorship.

No. of Attendees @ $45 pp

No. Attendees who are State, Town, or Public Officials at No Cost**

NOTE: Public Officials and State Employees please note: For reporting purposes and compliance with CT state ethics requirements, you will need to sign in as acceptance of the $45 (value of the conference) from CCIA – not to exceed an individual annual total of $49.99 received from CCIA. Pursuant to the CT State Code of Ethics General Statutes 1-97 (d) CCIA is required to inform you in writing if CCIA makes an expenditure on your behalf, as a public official or state employee and is required to report the expenditure/event to the State. Reporting is not necessary if you reimburse CCIA $45 (the full cost of the event) prior to May 10, 2024**.

Enter attendee names below. Please identify public officials and state employees with an asterisk (*).

First & Last Name (1)

First & Last Name (2)

First & Last Name (3)

First & Last Name (4)

First & Last Name (5)

First & Last Name (6)

First & Last Name (7)

First & Last Name (8)

First & Last Name (9)

First &Last Name (10)

Select your company sponsorship:

All sponsors are featured in program, displayed in the slideshow, are are acknowledged. Ads due April 5th.

$5,000 Program Sponsor (Logo in Highlights, promotional material, and slideshow, full page ad, table for 10)

$3,000 Platinum (Full page ad, logo on slideshow, Table for 10)

$2,000 Gold (Full page, logo on slideshow)

$1,000 Silver (Half page ad, logo on slideshow)

$1,500 Vendor Display (Display table in room, quarter page ad, 2 event tickets.)

No Sponsorship

Clear Selection

Program Book Ad Specifications:

Full Page: 5” wide x 7” tall (portrait)
Half Page: 5” wide x 3.25” tall (landscape)
Quarter Page: 2.25” wide x 3.25” tall (portrait)

Formats accepted: high resolution, print-ready pdf or jpg, color or black and white. Ad deadline: Friday, April 5 (morning) to Jean Barlage at jbarlage@ctconstruction.org.

Payment

Program and Platinum Sponsors come with a Table of 10. No need to pay $45.00 pp if you selected either of these sponsorships. Put 0 in the $ Registration Due field.
Vendor Display Sponsorship comes with 2 complimentary event tickets. If you selected this sponsorship, and plan on 2 guests attending, please put 0 in the $ Registration Due field. No need to pay $45.00.

$ Registration Due ($45 pp) *

+

$ Sponsorship Due

=

$TOTAL DUE *

Payment Options *

Credit Card- upon submission of this form

Mail Check to: CAAPA, 912 Silas Deane Highway, Suite 112, Wethersfield, CT 06109

Clear Selection

If your company requires an invoice, email Kathy Bergamo at kberagmo@ctconstruction.org to request an invoice.

Contributions or gifts to CAAPA are not deductible as charitable contributions for federal income tax purposes.

Registration and attendance at CAAPA events constitutes an agreement by the attendee to the use and distribution of photos.

Fields marked with * are required.

Your form submission WILL be encrypted using SSL to ensure your privacy.


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