Booth Size MIIAB Company Members Non-Members Power in Partner Sponsor 8 x 10 $1250 $1500 *Free Booth

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1 Exhibitor Commitment Form Exhibitors are encouraged to promote their products and services to MIIAB members during our Exclusive Exhibit Hall from 1:00pm to 4:30pm on Wednesday May 16,! Booth Size MIIAB Company Members Non-Members Power in Partner Sponsor 8 x 10 $1250 $1500 *Free Booth Booth includes: 6 x 30 draped table, two chairs, ID sign, wastebasket, and four complimentary exhibit hall only registrations (additional registration form required). MIIAB reserves the right and privilege to exercise its sole discretion in final booth assignment. (*Details of the Power in Partner Program found on separate enclosed form...great opportunity!) Company Name as it should be published (please print) Contact Name Address City State Zip Phone Company website Contact s address Exhibitor Registrations 1. Exhibiting companies will receive four complimentary exhibit hall registrations. Please use the enclosed Exhibitor Complimentary Registration Form to register these attendees from your company. (Note: if these attendees want to also attend the full day there is an additional charge of $40 member/$75 non-member each) PAYMENT All exhibitors are required to provide a credit card to be held on file in case payment is not received by the Exhibit Hall opening. Exhibitors will be notified if the card provided is going to be charged. This is a requirement to reserve booth space. Enclosed is a check made payable to MIIAB Please charge credit card: Visa Mastercard Card Number Expiration Date Security Code Name on Card Billing Address of Cardholder City State Zip 2. If you have more than four company representatives for the Exhibit Hall you can register them separately by completing the Individual Registration Form. # of Individuals Description Total Complimentary Exhibit Hall (4 total) Full Day add-on ($40.00 Member/$75.00 Non-Member) $ TOTAL DUE: $ Free Please send with payment to: MIIAB st Ave N, Suite 100 or fax to Maple Grove, MN Questions: Contact Keith Knapp at or at kknapp@miia.org

2 Exhibitor Complimentary Registration Form Exhibiting companies receive four complimentary registrations for the exhibit hall. On-site Contact: Address: City: State: Zip Phone: Full Day Add-On $40.00 Member $75.00 Non-Member 2nd Name: Address: City: State: Zip Full Day Add-On $40.00 Member $75.00 Non-Member Phone: 3rd Name: Address: City: State: Zip Full Day Add-On $40.00 Member $75.00 Non-Member Phone: 4th Name: Address: City: State: Zip Phone: Full Day Add-On $40.00 Member $75.00 Non-Member Additional Personnel may register for the Exhibit Hall by completing the Individual Registraiton Form Fax: kknapp@miia.org Make check payable to MIIAB and return to st Ave N, Suite 100, Maple Grove, MN 55369

3 You are cordially invited to become a Partner of the Minnesota Independent Insurance Agents and Brokers (MIIAB). We created this program for insurance companies, wholesalers and other vendors who support MIIAB on an ongoing basis. Becoming a MIIAB Partner guarantees you high-profile, year long exposure to the members of MIIAB. Below shows you the tangible benefits for your participation. We believe that the MIIAB Power in Partners Program is a true win-win for both the Association and its Partners. Our Partners have asked for this one stop approach to supporting MIIAB and its members. Keep in mind that Company Membership in MIIAB is included for all levels of Partnership! Silver Level Benefits ($2,600) MIIAB company/vendor membership Advance notice and priority exhibit booth selection for the MIIAB Convention Complimentary exhibit booth Five complimentary convention registrations (includes Education Session, Awards Ceremony & Exhibit Hall) Recognition on registration packets at convention and all education events (Name Only) Special recognition at our Awards Luncheon as an MIIAB sponsor Listing in all pre and post convention promotional materials Free 1/10 page 4-Color ad in each issue of the MIIAB magazine Listing as an MIIAB partner in each issue of the MIIAB official magazine (Name Only) Listing as a MIIAB Partner on the MIIAB website (Name Only) 1/2 day use of meeting space at MIIAB Training Center in Maple Grove Listing as a Young Insurance Professional supporter $4,750 Value Your generous support makes a significant difference!

4 You are cordially invited to become a Partner of the Minnesota Independent Insurance Agents and Brokers (MIIAB). We created this program for insurance companies, wholesalers and other vendors who support MIIAB on an ongoing basis. Becoming a MIIAB Partner guarantees you high-profile, year long exposure to the members of MIIAB. Below shows you the tangible benefits for your participation. We believe that the MIIAB Power in Partners Program is a true win-win for both the Association and its Partners. Our Partners have asked for this one stop approach to supporting MIIAB and its members. Keep in mind that Company Membership in MIIAB is included for all levels of Partnership! Gold Level Benefits ($5,200) MIIAB company/vendor membership Advance notice and priority exhibit booth selection for the MIIAB Convention Complimentary exhibit booth Six complimentary convention registrations (includes Education Session, Awards Ceremony & Exhibit Hall) Recognition on registration packets at convention and all education events (Name Only) Special recognition at our Awards Luncheon as an MIIAB sponsor Listing in all pre and post convention promotional materials Free 1/4 page 4-Color ad in each issue of the MIIAB magazine Listing as an MIIAB partner in each issue of the MIIAB official magazine (Name Only) Listing as a MIIAB Partner on the MIIAB website (Name Only) 1/2 day use of meeting space at MIIAB Training Center in Maple Grove Listing as a Young Insurance Professional supporter $8,750 Value Your generous support makes a significant difference!

5 You are cordially invited to become a Partner of the Minnesota Independent Insurance Agents and Brokers (MIIAB). We created this program for insurance companies, wholesalers and other vendors who support MIIAB on an ongoing basis. Becoming a MIIAB Partner guarantees you high-profile, year long exposure to the members of MIIAB. Below shows you the tangible benefits for your participation. We believe that the MIIAB Power in Partners Program is a true win-win for both the Association and its Partners. Our Partners have asked for this one stop approach to supporting MIIAB and its members. Keep in mind that Company Membership in MIIAB is included for all levels of Partnership! Platinum Level Benefits ($10,400) Exclusive Platinum Level Benefits Logo & hyperlink on Educational Opportunities Seven complimentary convention registrations (includes Education Session, Awards Ceremony & Exhibit Hall) One CIC/CISR scholarship certificates for agency personnel NEW BENEFIT: One Dynamics of Selling scholarship certificate for agency personnel One full day use of meeting space at MIIAB Training Center in Maple Grove Special Recognition on the Trusted Choice Make-A-Wish Chopper Trailer (Small Company Logo) MIIAB company/vendor membership Advance notice and priority exhibit booth selection for the MIIAB Convention Complimentary exhibit booth Recognition on registration packets at convention and all education events (Company Logo) Listing as an MIIAB partner in each issue of the MIIAB official magazine (Company Logo) Hyperlink to your company website from the MIIAB website with Company Logo Listing as a MIIAB Partner on the MIIAB website (Company Logo) Sponsorship of MIIAB Board of Director meeting activities during the year Special recognition at our Awards Luncheon as an MIIAB sponsor Listing in all pre and post convention promotional materials Free full page 4-Color ad in each issue (4) of the MIIAB magazine Listing as a Young Insurance Professional supporter $18,312 Value Your generous support makes a significant difference!

6 You are cordially invited to become a Partner of the Minnesota Independent Insurance Agents and Brokers (MIIAB). We created this program for insurance companies, wholesalers and other vendors who support MIIAB on an ongoing basis. Becoming a MIIAB Partner guarantees you high-profile, year long exposure to the members of MIIAB. Below shows you the tangible benefits for your participation. We believe that the MIIAB Power in Partners Program is a true win-win for both the Association and its Partners. Our Partners have asked for this one stop approach to supporting MIIAB and its members. Keep in mind that Company Membership in MIIAB is included for all levels of Partnership! Diamond Level Benefits ($15,600) Exclusive Diamond Level Benefits Logo & hyperlink on be Cutting Edge & Capitol Notes s Feature partner on MIIAB homepage for one month at Complimentary double exhibit booth Eight complimentary convention registrations (includes Education Session, Awards Ceremony & Exhibit Hall) Two CIC/CISR scholarship certificates for agency personnel NEW BENEFIT: Two Dynamics of Selling scholarship certificates for agency personnel Publication of feature profile on your company in MIIAB official magazine The Minnesota News Two full days use of meeting space at MIIAB Training Center in Maple Grove Special Recognition on the Trusted Choice Make-A-Wish Chopper Trailer (Large Company Logo) Recognition on registration packets at convention and all education events (Company Logo) Listing as an MIIAB partner in each issue of the MIIAB official magazine (Company Logo) Advance notice and priority exhibit booth selection for the MIIAB Convention Hyperlink to your company website from the MIIAB website with Company Logo Listing as a MIIAB Partner on the MIIAB website (Company Logo) Sponsorship of MIIAB Board of Director meeting activities during the year MIIAB company/vendor membership Special recognition at our Awards Luncheon as an MIIAB sponsor Listing in all pre and post convention promotional materials Free full page 4-Color ad in each issue (4) of the MIIAB magazine Listing as a Young Insurance Professional supporter Your generous support makes a significant difference! $38,555 Value

7 Main Location Address City State Zip County Phone Fax Website Personnel Listing Please list the names of all main location personnel you would like listed in our database. Please list additional Main Location Personnel on a separate sheet and attach. Main Contact Make all checks payable to MIIAB. Payments made to MIIAB are not deductable as a charitable contributions for federal income tax purposes. However, they may be deductable under provisions for the Internal Revenue Code as a business expenses. Power In Partner Level Cost Diamond Level $15,600 Platinum Level $10,400 Gold Level $5,200 Silver Level $2,600 MIIAB, st Ave N, Suite 100, Maple Grove, MN P: F: kknapp@miia.org

8 Branch Location Branch Location Please make additional copies as needed for each branch and attach. Address City State Zip County Phone Fax Website Personnel Listing Please list the names of all branch location personnel you would like listed in our database. Branch Contact MIIAB, st Ave N, Suite 100, Maple Grove, MN P: F:

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