Expo Registration Form

Registration for Exhibition Space
Lifescape Senior Expo, September 18, 2021
Rock Valley College Physical Education Center
3301 N. Mulford Rd., Rockford, IL 61114

    Your Information

    (as you want it to appear on directories and printed materials, if different than above)

    Booth Spaces

    Spaces are 10'x10' and include pipe and drape, one 8' skirted table and two chairs. Select all that apply.

    COMMERCIAL BOOTH - EARLY BIRD NON-ELECTRIC (.com) $500.00 each QTY
    COMMERCIAL BOOTH - EARLY BIRD ELECTRIC (SECTION C) (.com) $525.00 each QTY
    PUBLIC/NPO BOOTH - EARLY BIRD (.edu, .gov., .org) $175.00 each QTY
    EXTRA TABLE $40.00 each QTY
    EXTRA CHAIR $5.00 each QTY
    Senior EXPO Floor Plan

    Indicate Preferred Choice

    Indicate your preferred booth area by selecting A, B, C, D, or E. Floor plan is shown above. Please note that Section C is the only section with electricity and is reserved for commercial booths only.

    Directory Advertising

    EXPO DIRECTORY AD (Full Page) $495.00 each QTY
    EXPO DIRECTORY AD (Half Page) $295.00 each QTY
    EXPO DIRECTORY AD (Quarter Page) $195.00 each QTY
    EXPO DIRECTORY AD (Biz Card) $20.00 each QTY

    Invoice Method

    Please select one of the following invoice options. Lifescape will invoice you within 5-7 business days of the submission of this form.

    Email me my invoiceMail me my invoice

    Additional Equipment

    Equipment will NOT be available to order the day of the Expo. Please include details about all additional equipment needs:

    NOTE: It is agreed exhibitors will indemnify and hold harmless the producers, sponsors, staff and/or Rock Valley College (RVC) from all liabilities arising out of the negligence of the exhibitor. Exhibitor is responsible for any damage to RVC. Exhibitors are responsible for paying TOTAL INVOICE within 30 days of receiving invoice.

    A confirmation email will be sent to you after submission of this form. NOTE: Please check your spam/junk mail for the confirmation email.

    For additional information regarding Lifescape Senior Expo, please contact Zach Satterlee at 815.963.1609 or
    zsatterlee@lifescapeservices.org