WQA 2012



Booth Space Application

Past WQA Aquatech USA Exhibitors: Please log in using your password. Click here to login to have your company information prepopulated for your convenience.

    (Forgot your password? You can retreive your password by clicking here

    Please note: passwords have been updated for the 2012 event.  Your 2011 password is

    no longer valid.)

  • First Time Exhibitor: Complete the form below to submit an application. 


2012 Exhibit Space Contract (PDF format)

View Pricing...

View 2012 Prospectus...


Interested in Exhibiting in the International PavilionClick here

Note:  All fields with an * are required fields.

Application List

Complete Application Below


Exhibit Space Application/Contract

New exhibitors:  all fields with an * are required fields.

Past Exhibitors who are logged in:  any prepopulated fields cannot be changed.  You must contact WQA to have these details updated. Please complete the application process and contact Peggy Blazek at 630 505 0160 x 520 or via email pblazek@wqa.org to have WQA update these fields.

Exhibitor Company Name*
Contact First Name*
Contact Middle Name
Contact Last Name*
Address Line 1*
Address Line 2
Select a State/Province*
Zip/Postal Code*
Select a Country*
Exhibitor Telephone**

Exhibitor Facsimile*

Company Print Profile:  Used in convention program guide. (Max Limit 250 characters including spaces)*
Company Online Profile  (Max Limit 250 characters including spaces)*
Exhibitor Web site*
Application Information
Application Date
Exhibiting Name if different from Company Name
Contact Name
Booth Dimensions *  x 

Booth Area Requested *  sq. ft.

Special Instructions
Booth configuration

Booth Choices * (click here to view current space availability)
1 Choice
2 Choice
3 Choice
4 Choice
Would like to be away from
Would like to be near

EXHIBIT SPACE TOTAL: view pricing...

Method of payment
Card Type

Card Holder's Name*
Card No*  
Booth Space Amount ($2700 per 10' x 10' space)

WQA  Member Discount (20% of Subtotal) (If Applicable)** More Info...

Surcharge (for Corner, Pennisula, and Island spaces) (If Applicable)***
More Info...
Exhibit Space Total
Initial Nonrefundable Payment

Now through December 1, 2011: 50% of Exhibit Space Total plus Adminstrative Fee of $225.  Remaining balance due January 6, 2012.

After December 1, 2011:  100% of Exhibit Space Total plus Administration Fee of $225.

Administration Fee - $225
Total Now Due/Amount Charged to Card
CSV Code*
Expiration date(MMYY; e.g., 0109)*

I agree to all terms and conditions.

Important information regarding On-line Contracts: WQA Aquatech USA reserves the right to adjust the amount due and make appropriate ministerial corrections if originally submitted information (including WQA membership) is not correct. WQA Aquatech USA's invoice to the exhibitor will indicate adjustments to amount due and the corrections made. WQA Aquatech USA will deem the adjustments and corrections as having been accepted if we do not hear from you within five working days of the invoice.

Click here for the cancellation policy.

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