Sponsor/Exhibitor Registration Form

Sponsor/Exhibitor Registration Form November 11-13, 2016 – Renaissance Montgomery Hotel & Spa, Montgomery, AL Name:______Web Address:______Company:______Special Requests:______Address:______Description of Display Items:______City:______□I plan to dispense samples not individually packaged State:______□I need refrigerator storage for my exhibit items Zip code:______□I am interested in becoming a food donor Phone:______□I am interested in a food donation/exhibit barter Fax:______□I am a WAPF member Cell:______□I am a chapter leader E-mail:______□I plan to attend the chapter leader training on 11/11

Sponsor/Exhibitor Category □Platinum Sponsor $10,000 Exhibiting 11/11 – 11/13 □Gold Sponsor $5,000 Exhibiting 11/11 – 11/13 □Silver Sponsor $3,500 Exhibiting 11/11 – 11/13 Please select one of the following: □Tote Bag □Conference Recordings □Conference Lanyard □Friday Lunch □Friday Dinner □Saturday Lunch □Awards Banquet □Sponsoring Exhibitor $2,500 Exhibiting 11/11 – 11/13 □Non-Sponsoring Exhibitor $600 Exhibiting 11/12– 11/13 □Non-Sponsoring Non-Profit* Exhibitor $300 Exhibiting 11/12– 11/13 *(must show proof of non-profit status) □Additional Table Sponsor $1,500 each, subject to availability and approval □Additional Table Exhibitor $500 each, subject to availability and approval Additional Items – Please indicate the number desired __Friday Lunch @ $40 each __Saturday Lunch @ $40 each __Sunday Lunch @ $40 each __Friday Dinner @ $60 each __Saturday Banquet @ $75 each __Friday Registration @ $170 each __Gluten Free Meals __Casein Free Meals (includes lunch and buffet dinner) __Monday @ $100 indicate below __□Farm Tour __□Movement __□Cooking __□Homeopathy

__Additional Exhibitor Badges @ $50 each; limited to 3 per space – (provide the names of your booth staff below) ______Payment Processing $______Total Due for Sponsorship/Exhibitor Fees, Additional Items, Additional Exhibitor Badges □MasterCard □Visa □Check/Money Order (payable to WAPF) Cardholder:______Card number:______Expiration Date:______Security Code: (last 3 digits on back of card)______Signature:______Date:______By submitting the sponsor/exhibitor registration form, I authorize WAPF to charge the appropriate fees. I understand all cancellations must be submitted in writing and must be received by September 12, 2016 to be eligible for a refund of 50%. After September 12, 2016, no refunds will be issued. I acknowledge that I have read the complete exhibitor kit which provides detailed listing of fees associated with shipping, electric, internet access, etc. Please note: you must sign and date page 2 of this registration form. All sponsor/exhibitors must be approved by the WAPF Board.

1900 Jones Road, Winchester, VA 22602- Phone 540.722.7102 Fax 540.301.3536 www.westonaprice.org

RESOLUTION OF THE BOARD OF DIRECTORS OF WESTON A. PRICE FOUNDATION

The Board of Directors of Weston A. Price Foundation (“the Foundation”), a non-profit corporation organized and existing under the laws of the District of Columbia, duly adopted the following resolution at a meeting held on June 4, 2012:

WHEREAS, in order to advance its goals of promoting a healthy diet, the Foundation encourages small and family farms and related businesses so that consumers may have access to healthy, natural foods; and

WHEREAS, the Foundation has been advised by legal counsel that it is under no obligation to provide a forum to businesses or business models that are not in alignment with its values, principles, and goals; and

WHEREAS, the Board of Directors finds it in the best interest of the Foundation to adopt a policy specifically excluding certain types of businesses from exhibiting at conferences and other activities and advertising in publications of the Foundation and its chapters;

NOW, THEREFORE, BE IT

RESOLVED, that it shall be the policy of the Foundation to exclude businesses whose products, services, or business models are inconsistent with the Foundation’s values, principles, and goals from exhibiting at conferences, chapter activities and other activities and advertising in publications of the Foundation and its chapters;

RESOLVED FURTHER, that businesses based on a multi-level marketing business model, including independent associates connected with such businesses, shall not be permitted to exhibit at conferences and other activities, participate in chapter activities or advertise in publications of the Foundation and its chapters.

TO BE SIGNED BY SPONSOR/EXHIBITOR

I acknowledge the company/organization I represent is not based on a multi-level marketing business model, nor am I connected with such businesses as an independent associate.

______Sponsor/Exhibitor Signature Date