Exhibit Application

Booths include 3’ x 6’ table & two chairs. Tablecloths will be provided. Electrical outlets will be available for exhibitors. Exhibit spaces will be assigned in order of exhibitor confirmation. *Exhibiting pass includes two (2) complimentary Banquet and two (2) complimentary Luncheon tickets. Additional tickets may be purchased on-site. Exhibit Space will be awarded on a first come, first serve basis, determined by when ALL Support Registration materials and payment are received. ALL PAYMENTS MUST BE RECEIVED BEFORE YOUR BOOTH IS SET UP.

Deadline Date for Application: May 30, 2010

Hotel Accommodations

or

Contact  the Hilton Hotel at 866-625-2496 (Group Reference # GSM). 
Contact the Palmetto Dunes Resort at 800-826-1649 (Group Reference #42) (or) EMAIL: szharris@resortquest.com

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Registering As:
Registering As:	Corporate Exhibit Booth $2,000.00 Non Profit $1,500.00
Information:
* Company Name
* Address
* City
* State	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
* Zip
* Contact Person
* Telephone
Fax
* Email
Website
Exhibit Registrants:
Company Exhibit Registrant Name #1
Email
Company Exhibit Registrant Name #2
Email
Company Exhibit Registrant Name #3
Email
Company Exhibit Registrant Name #4
Email
Exhibit:
Booth # Requested (click here for exhibit floor plan)
Please give a brief description of company/exhibit
* required field