MACPS Speaker/Exhibitor Request

We'd like to invite MACPS members to our conference:*

Choose "Select All" or, if your conference can accommodate only a limited number, select the members you'd like to invite:

Select All
AMERICAN HONDA MOTOR CO., INC.
CHICCO
CLEK
DIONO
DOREL JUVENILE
GOODBABY INT. (Evenflo, CYBEX)
HYUNDAI-KIA AMERICA
IMMI
NEWELL BRANDS (Graco Children’s Products, Baby Jogger)
NUNA
ORBIT BABY
SAFE TRAFFIC SYSTEM (RIDE SAFER)
TOYOTA MOTOR NORTH AMERICA, INC.
UPPABABY
VOLKSWAGEN GROUP OF AMERICA

Conference/Event Name:*

Conference Contact (Submitter's Name):*

Agency/Organization:*

Telephone #:*

Fax #:

Email Address:*

Enter Email Confirm Email

Is this a multi-day event?*

Yes
No

Event Date*

Please enter the day of the event.

Event Start Date*

Please enter the first day of the event.

Event End Date*

Please enter the final day of the event.

Event Format*

In person
Virtual
In person, but speakers can participate virtually, if preferred

Event Location:*

Please describe the location where the conference will be held (facility/city/state).

Closest Airport:*

Please tell us the closest airport to your conference. If another viable airport option exists, please indicate that as well.

Have you made arrangements for an event hotel?*

Yes
No

Event Hotel:

Type of Event:*

Regional
Statewide
City/County/Coalition Within a State

Event invitees are from this state(s):*

Please tell us the state or states where most attendees live/work.

Is This Event Held Regularly?*

Yes, annually
Yes, biennially (every other year)
Yes, monthly (or other)
No

Expected Attendance:*

Last Year's Attendance:

Has this event been advertised on a website?*

Yes
No

Website Advertising the Event:

Special Event Rate at Hotel:

Please tell us what the special event rate is at the hotel.

Event Type:*

Please describe the event in more detail (CPS only, highway safety including CPS, etc.).

What are you requesting?*

Please indicate how you'd like manufacturers to participate in your conference.

Exhibit at a booth
Present as part of a manufacturer panel
Present one or more CEU sessions (if selected, MACPS will get in touch to discuss options).

Would you like this conference/event included on the MACPS Calendar?*

The MACPS Calendar of State, Regional, and National CPS Conferences is posted at www.saferidenews.com/MACPS/conference-calendar.

Yes
No

Cost(s) to Manufacturer:*

Please tell us if there are conference fees that manufacturers must cover (registration, exhibit fees, etc.)

Expense reimbursement available for speakers:*

Please tell us if any expense reimbursement is available for manufacturers who present CEU sessions (e.g., hotel, meals, registration, exhibit fees).