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Exhibitor Registration Form
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Name:
Title:
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Organization:
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Address:
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City:
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State:
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Zip:
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Ext.
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Phone:
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Fax:
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E-Mail:
Web Site:
* Required Field
Rates
Includes 8' table, skirting, backdrop, siderails and identification signage.
Type of Company or Agency:
For-Profit: $600.00
Non-Profit: $400.00
I would like to reserve
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exhibit spaces in the Marketplace.
(All booths must be reserved for the same company.)
Brief Description of Program, Product or Service:
Additional Benefits
Free conference Registration for one person (one per booth)
Unlimited FREE Guest Passes to Marketplace
Free one time use of Conference Registrant List
Free Listing on Conference Webpage
Free Listing and Description in Conference Brochure
Two Free Meal and Coffee Bar tickets
Additional Options
I would also like to advertise in the Conference Brochure:
Full Page Ad:
$2,500.00
Half Page Ad:
$1,200.00
Quarter Page Ad:
$600.00
Business Card Ad:
$300.00
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Method of Payment
Check:
Charge Card:
Exhibit Cancellation Policy
No cancellation of space contract will be accepted or refunds made after
April 15
, 2006. Senior Summit financial director reserves the right to cancel space reservations if full amount of the rental charge has not been received within the specified time. Furthermore, space not occupied will be re-assigned without notice.
I agree to the terms listed above.
