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 31, 2023, 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 31; exhibitors who purchase booths after August 31 are not entitled to any refund. Sponsorship fees are not refundable after July 10, 2023. 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. 
NOTE: We have been advised that Google Chrome updates may block website redirects on our forms. These updates may impact the ability to redirect to PayPal. Please try another web browser to complete the form or use direct link to form.

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