Exhibitor Registration / Payment Form

To submit your completed registration form:

  • Complete the online form below, attaching 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
  • Cancellation/Refund Policy: Requests received by 5:00 p.m., August 30, 2024, will be charged an administrative fee of $100 per booth and the balance of the booth price will be refunded. No refunds for any portion of the booth fee or meals will be made after August 30; exhibitors who purchase booths after August 31 are not entitled to any refund. Sponsorship fees are not refundable after July 10, 2024. See page 7 of exhibitor packet for full policy.
  • A surcharge of $35.00 will be charged for all onsite service requests, including electrical and meals. All onsite purchases must be paid at time of request. 



Staff Contact: 
Dianne J. Chicoine
Coordinator of Exhibits/Sponsorships, Directory & Buyer's Guide, PAC Auction, and the Mike McNeil Scholarship Fund Golf Tournament