COCAcon 2026 Exhibitor/Sponsor Registration

Thank you for your interest in being an Exhibitor or Sponsor for COCAcon 2026!

Name

First

Last

Email

Phone

Company / Organization

Position / Title

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Exhibitor/Sponsorship Level

How many people will be attending on behalf of your organization?

Attendee #2

Name

First

Last

Email

Company / Organization

Position / Title

Are your products and/or services offered in both US and Canada?

Yes, both US and Canada
US only
Canada only

Is this your first time attending a COCAcon?

No
Yes

Attending the Conference Kick-Off Reception on Thursday Evening?

Yes
No
Maybe

Would you be interested in discussing additional partnerships or sponsorships for COCAcon, such as being a partial or full sponsor of an event or meal?

Yes
Maybe
Not at this time

Would you be interested in discussing future sponsorships outside of COCAcon, such as sponsoring a virtual education series?

Yes
Maybe
Not at this time

How will you be paying for this?

Pay Later by Check (Due by Oct 1). Mail to: COCA c/o Jennifer Amundsen, 261 Magnolia Crest, Dadeville AL 36853.
Credit Card via Paypal

(If paying by credit card, a 2.8% convenience fee will be added to conference fees.)

Credit Card Surcharge

$0.00

Total

$0.00

Cancellation Policy:
Before you cancel, if a registrant is unable to attend the conference and would like to change the name on the registration, COCA is happy to do so. Please submit the request to the COCA office by email as soon as the request for change is known. Cancellations submitted in writing to the COCA office no later than October 1, will receive a full refund of the registration amount, minus a $25.00 processing fee. Due to committed and incurred expenses, COCA cannot refund registration fees for cancellations received after this date. Refund requests should be submitted in writing (261 Magnolia Crest, Dadeville AL 36853) or email. For email requests, a receipt of confirmation by COCA office must be obtained. All refunds will be processed after the COCA Annual Conference.