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NYDHA Empire Conference Exhibitor Registration Form

November 1-2, 2024
DoubleTree by Hilton Poughkeepsie, Poughkeepsie NY

Exhibitors Hall: Friday, November 1 from 12-4 p.m.
Saturday, November 2 from 8 a.m.-3 p.m.


We will provide one draped six-foot table and two chairs. The total cost for each booth is $450 if locked in by May 24, 2024; $550 thereafter, payable to NYDHA. Booth fee is the same whether participating both days or just one day; please specify Friday or Saturday or both days. Exhibitor acceptance is at the discretion of NYDHA. Booth locations will be assigned by the Conference Exhibit Chair. Overall product lines, number of booths and order in which booth reservations were received will be taken into consideration.

Check all that apply*

AGREEMENT: On behalf of my company, I hereby commit the undersigned firm to exhibit at the Empire Conference of the New York Dental Hygienists’ Association, Inc. in 2024.

Company Name:*
Contact Person:*
Number of Booths:*
Days Participating:
Name Tag Should Read:*
Company Website:
Briefly describe your product line:

As an exhibitor, I understand that no booth shall be for more than one exhibitor, no subletting is allowed and written requests for return of booth fee will only be accepted up to 60 days prior to the conference.  I agree to be at the booth through the full show on the day(s) designated.

Your Name:*
Your Title:*
Total to be charged to your card (please use numbers only, no periods):*

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