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.
BUBBLEBUM
CHICCO
CLEK
DIONO
DOREL JUVENILE
GOODBABY INT. (Evenflo, CYBEX)
HYUNDAI-KIA AMERICA
IMMI
MIFOLD
NEWELL BRANDS (Graco Children’s Products, Baby Jogger)
NUNA
ORBIT BABY
SAFE TRAFFIC SYSTEM (RIDE SAFER)
SMARTRIDR, LTD (WHIZRIDER)
SUMMER
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).