Main Menu
About DSA
About Us
Board of Directors
Region Representatives
Organization Bylaws
Sponsors
Contact DSA
Conference
2023 Conference – Hollywood, FL
Past Conferences
Support DSA
Become a Member
Organizational Affiliates
Make a Donation
Members Area
New Horizons
Resources
Members Account
Log Out
Search
Search
Main Menu
About DSA
About Us
Board of Directors
Region Representatives
Organization Bylaws
Sponsors
Contact DSA
Conference
2023 Conference – Hollywood, FL
Past Conferences
Support DSA
Become a Member
Organizational Affiliates
Make a Donation
Members Area
New Horizons
Resources
Members Account
Log Out
Search
Search
About DSA
About Us
Board of Directors
Region Representatives
Organization Bylaws
Sponsors
Contact DSA
Conference
2023 Conference – Hollywood, FL
Past Conferences
Support DSA
Become a Member
Organizational Affiliates
Make a Donation
Members Area
New Horizons
Resources
Members Account
Log Out
Call for Exhibitors
Click Here For PDF Conference Exhibitor Form Option
Business/Organization Name:
Status:
For Profit
Deaf Owned
Nonprofit (please provide proof of NFP status)
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Contact Name
First
Last
Position:
Daytime Phone/TTY/VP:
Fax
Email
Early Bird Special (end December 31st, 2022):
Rates
$750 For Profit
$525 Deaf Owned/Nonprofit
Standard Rate:
$1,000 For Profit
$700 Deaf Owned/Nonprofit
Exhibit Reservations
Number of booths: For more than five booths, please contact: dsa2023exhibition@deafseniors.us
One
Two
Three
Four
Check here if requesting information for interpreting services (at exhibitor’s expenses)
First Attendant
Second Attendant
Third Attendant
Fourth Attendant
Program Book Identification/Booth Description Sign
Please print the following information exactly as you wish it to appear in the program book and booth identification sign:
Business/Organization name:
Program Book Identification/Booth Description Sign
Name
City
State / Province / Region
Website
Cancellation of Exhibit Contract Should an exhibitor wish to cancel this contract, the refund schedule is as follows: 1) Notification of cancellation on or before March 14, 2023 – 100% refund of total contracted cost, and 2) Notification of cancellation after March 14, 2023 or if exhibitor fails to occupy the space, no refunds. Note: Exhibitor contracts are not considered cancelled unless exhibit coordinator has received note in writing. No exceptions.
Exhibit Agreement Exhibitor signature below stipulates having read and agreed to the complete 2023 DSA conference exhibitor Rules and Regulations which are incorporated into this contract by reference. The Application becomes a contract when accepted and confirmed by DSA exhibit coordinator. All fees are to be paid in full upon submission of signed contract.
Type your name and it will be considered as a signature:
Position:
Print name of representative:
Payment Section
Credit card information and this contract can also be faxed. A $40- charge will be assessed on all returned checks.
Check/cashier’s check/money order enclosed (payable to DSA2023Hollywood)
Credit Card (select type):
Visa
Mastercard
Total
16 Digit Account Number:
Expiration Date
3 Digit CCV Code:
Full name shown on card:
Comments
This field is for validation purposes and should be left unchanged.
Call for Presentations
Click Here for PDF Option for Call for Presentations
MAIN PRESENTER
First
Last
Degrees (if applicable)
Self or Organization (if applicable)
First
Position
Email
VP/Text
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
ADDITIONAL PRESENTER/PANELIST
First
Last
Degrees (if applicable)
Self or Organization (if applicable)
First
Position
Email
VP/Text
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
BIOGRAPHY
(Required)
Please submit your biography relevant to your qualifications for this presentation. Your biography will be printed in the conference program and posted on our web. Please submit up to 300 words in a written/narrative format and NOT a CV/resume.
SESSION TITLE
(Required)
Titles should be concise and intriguing. Attendees will choose from up to five (5) other session titles per time block.
SESSION DESCRIPTION
(Required)
Descriptions should be no more than 100 words and will be printed in the program book. Suggested format: Describe the activities that will result in the projected outcomes
AUDIO VISUAL [AV] EQUIPMENT
Please describe what AV your presentation requires, such as flipcharts, PowerPoint, video clips etc. PLEASE NOTE: DSA 2023 Conference DOES NOT PROVIDE LAPTOPS.
TOPIC OF YOUR PRESENTATION - Please consider below outlined bullet points when developing your write up. Explain how you will convey the content to the participants. Kindly describe in the space below:
• Your proposal in detail including specific examples, goals and objectives
• Your expertise in the topic you select to discuss
• Your expertise in the topic you select to discuss
• Strategies that support overcoming obstacles, best practices, how can one implement these strategies across the deaf senior community
• Strategies that support overcoming obstacles, best practices, how can one implement these strategies across the deaf senior community
DSA2023 accepts APPLICATIONS in 3 different formats - workshop, lecture, and/or panel. All sessions will take place between June 26 through 28, 2023.
Please check off all boxes that apply.
One time-1 hour- AM or PM
Concurrent Workshop Sessions
1 hour / taking place in the morning and REPEAT in the afternoon.
FORMAT
WORKSHOP: Up to three [3] individuals providing hands-on content with attendees learning practicing skills, tools, & strategies.
LECTURE: Up to three [3] individuals providing an in-depth case study with attendees learning topical/industry specific best practices & strategies.
PANEL: up to 5 participants on a panel sharing experiences and/ or viewpoints.
ROOM SET UP - Session rooms are set in theatre style. We try to accommodate set up when possible, please list your preference below:
2 rows - seated with 30-40 participants
Classroom - rows of tables & chairs
Other - Please describe:
Additional Information from the presenter(s)
Please offer in the space below any additional information that the program committee should be aware of when reviewing your submission/presentation.
Phone
This field is for validation purposes and should be left unchanged.
DSA 2023 Hollywood, FL Raffle
Buy Your Raffle Ticket Now
Contact the Deaf Seniors of America, Inc.
Name
*
First
Last
Email
*
Phone
Message
*
Comments
This field is for validation purposes and should be left unchanged.