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MEACS 2018 Exhibitor Detail Form
Thank you for Exhibiting with us. Please complete the following information so that we may process your order.
Exhibit Directory Listing Information
Description of Company and Products/Services (100 Words Max)
Please provide representative information below.
Additional On-Site Representatives ($100 Each)
Please Reserve Our Company for the Following:
2 Booths - $2990
Exhibit Space - $1,495
Number of Representatives:
1 Representative @ $0 - Included
2 Representatives @ $0 - Included
3 Representatives @ $0 - Included
4 Representatives @ $100
Number of Attendees to Welcome Reception - Complimentary:
Our Company would like to be a:
Major Supporter (includes exhibit space and additional recognition:
Break Supporter (with signage):
If possible, please do NOT Locate us near the following companies
Electricity needed? (Note: You must bring your own extension cords)
The Maine Chapter, American College of Surgeons, hereinafter referred to as Maine Chapter, is hereby requested and authorized to reserve exhibit space for our use during the ME Chapter Annual Meeting. It is understood and agreed that all space will be assigned on a first-come, first-served basis and that Maine Chapter reserves the right to decline any application or disallow any exhibit which is not in keeping with the character of the meeting and to make reasonable shifts in location for the benefit of the exhibitor or deadlines and details. Exhibitors are bound by the exhibitor specifications and conditions on the Exhibitor Agreement.
I have read and agree to the terms and conditions of this contract and the
Total Amount Due
Total Amount Due will be Provided on Next Screen.
Tax ID # 20-4019098
(The MEACS W-9 Form can be requested by emailing firstname.lastname@example.org)
- denotes required fields
©2019 Maine Chapter, American College of Surgeons
P.O. Box 190, Manchester ME, 04351
Fax (207) 352-5555