Conference Registration – Vendors – ICPSNE – Infection Control Professionals of Southern New England

2026 Conference Vendor Registration Form

icpsne-registration-information_fees_2026_updated.docx_90254261_1

"*" indicates required fields

Vendor Conference Registration

Early registration Expires July 31st, 2026 COMPLETE COMPANY INFORMATION AS IT WILL BE PRINTED IN THE BROCHURE:

For Mail-In Registration only, complete the form below

& return with payment to:

ICPSNE, Inc. P.O. Box 100571, Cranston R.I. 02910 Checks should be made payable to ICPSNE, Inc.

Company Name*

Address*

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

Company Representative*

First Last

Email*

Phone*

Additional Representative(s)

Additional Company Representative

First Last

Phone

Sponsorship Level

Vendor Sponsorship Types and Fees*

Vendor Basic $600 (includes 1 Booth 1 lunch and coffee)

Vendor- Bronze $625 (includes Internet Sponsor, 1 Booth, 1 lunch and coffee)

Vendor- Silver $650 (includes Lunch Sponsor, 1 Booth, 1 lunch and coffee)

Vendor-Gold $700 (includes Speaker Sponsor, 1 Booth, 1 lunch and coffee)

Additional Lunch Buffet

Lunch

Yes, I/we would like to additional luncheon for; _____ # of attendees ($25 per person)

Price: $50.00

We will confirm your registration via email & and include conference day set-up information Any questions, please contact Leslie Morrissey at (401)455-8417, Sue Mariano at (401) 737-7000 EXT x 35502, Marla Goulart (401) 480-9957

Total

Financial Information

Credit Card

2026 Conference Vendor Registration Form

Vendor Conference Registration

Additional Representative(s)

Sponsorship Level

Additional Lunch Buffet

Financial Information

September 30, 2026

Crown Plaza Hotel

801 Greenwich Ave, Warwick, RI

(401)732-6000