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Sponsored by: American
Pediatric Society, Society for Pediatric Research and
Ambulatory Pediatric Association
Completion of
this application for exhibit space at the PAS Annual
Meeting & Exposition indicates the applicant's
willingness to abide by all contract terms, conditions,
and all rules, regulations, and general information,
listed in the Exhibitor Prospectus. This application will
serve as a contract when countersigned by PAS Exhibit
Representative. A copy of the contract will be returned
upon assignment of exhibit space. Return completed
application with payment to: PAS
Exposition Office, Attn: Kathy Cannon, 3400 Research
Forest Dr., Ste B-7, The Woodlands, TX 77381.
EXHIBITING COMPANY/ORGANIZATION
NAME:__________________________________________________________
CONTACT TITLE:
______________________________________________________________________________________
ADDRESS:
____________________________________________________________________________________________
CITY, STATE, ZIP:
_____________________________________________________________________________________
PHONE: (______)__________________ FAX:
(_______)__________________
E-MAIL_____________________________
Please
indicate, based on merchandise/products/services to be
exhibited at this meeting. Please check all that apply.
p Health Care
Computer
p Medical Equip.
Manufacturer
p Market
Research
p Other:
___________________________ |
p
Health
Care Facility
p Publisher
p Medical
Association
|
p
Pharmaceutical
p Laboratory
p Hospital
|
Merchandise
to be exhibited:
____________________________________________________________________________
Choices for locations are as follows. PLEASE LIST BOOTH
NUMBERS IN ORDER OF PREFERENCE.
1. Booth
number(s)_____________
4. Booth number(s)_____________ |
2. Booth number(s)
_____________
5. Booth number(s) _____________ |
3. Booth number(s)
_____________
6. Booth number(s) _____________ |
| Booth size |
Cost |
Deposit |
Booth size |
Cost |
Deposit |
10 x 10
10 x 20
10 x 30
|
$2000
$4000
$6000
|
$500
$1000
$1500
|
20 x 20
20 x 30
20 x 40
|
$8000
$12000
$16000
|
$2000
$3000
$4000
|
|
INDICATE
BOOTH SIZE: (10 x 10, 10 x 20, 20 x
20)_____________________________________________________________
I do
NOT wish to be located near the following
companies:
_______________________________________________________
|
Required
Signature________________________________________Title ____________________________________________
DEPOSIT:
A 25% deposit of total exhibit space must accompany
this request for Exhibit Space Contract. Space will
not be assigned or contract dated until deposit is
received. The cost is $2000.00 per 10' x 10'. After
January 30, 1999 full payment of requested space is due
with contract. NO TELEPHONE OR FAX REQUESTS FOR SPACE
WILL BE HONORED. Only this contract application will
be accepted. Booth assignments will begin December 2,
1998. Credit card payments will be accepted. A 3%
service charge per 10x10 booth for credit card
transactions. Please contact the PAS Exposition Office
for instructions for credit card usage.
| For PAS Exhibit
Headquarters Use Only: |
Date Contract
Received: ____________
Total Cost of Booth(s)$_______________ |
Amount received
w/contract $ ______________
Remaining Balance Due $ ___________ |
Assigned
Booth Number(s) _____________
(by January 30, 1999) |
PAS
Exposition Representative Signature:
_____________________________________________________________________
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Booth
Assignments Begin December 2, 1998 |
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