Exhibitor Registration / Payment Form
To submit your completed registration form:
- Complete the online form below
- Upload a scanned/PDF copy of the exhibitor registration form in the box indicated
- If paying by check, please send a copy of your registration form with the check to: Maine Health Care Association, 317 State Street, Augusta, ME 04330 Attn: Dianne Chicoine, Exhibit Coordinator. Checks returned for insufficient funds will be charged a $50.00 fee.
- If paying by credit card, you will automatically be redirected to Paypal to complete your payment after completing the online form “Submit” button. You do not need a Paypal account to proceed, you may check-out as a guest and use any debit or credit card to process your payment. NOTE: As of 6/16/22, we have been advised that a recent Google Chrome update may block website redirects on forms. This update may impact the ability to redirect to PayPal. Please try another web browser to complete the form or use direct link to form.
ALL BOOTHS HAVE BEEN RESERVED
Dianne J. Chicoine
Coordinator of Exhibits/Sponsorships, Directory & Buyer's Guide, PAC Auction, and the Mike McNeil Scholarship Fund Golf Tournament