APPLICATION AND CONTRACT FOR EXHIBIT … ASSIGNMENT: Booth assignments on ... APPLICATION AND...
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103 RD ANNUAL MEETING EXHIBITION OF THE AMERICAN ACADEMY OF PERIODONTOLOGY Boston Convention & Exhibition Center •Boston, MA • September 10-12, 2017 ** Important, as all Exhibitor bulletins and important updates will be sent via e-mail. Exhibitor has read and understands the 2017 AAP Annual Meeting Rules and Regulations and agrees to abide by all of their terms. Exhibitor understands that the AAP is under no obligation to accept this application. Exhibitor further understands that the AAP will accept an application only if, in its sole judgment, it believes the Exhibitor will comply with these Regulations, and if there is adequate space. Exhibitor assumes the entire responsibility and liability for all claims, losses, and damages to persons or property, governmental charges or fines, attorney’s fees, and other costs caused by or in any manner arising out of or associated with Exhibitor’s installation, maintenance, removal, occupancy, or use of the exhibit space or any part thereof, and Exhibitor agrees to protect, indemnify, defend and hold harmless the American Academy of Periodontology, the Massachusetts Convention Center Authority, the Boston Convention & Exhibition Center, and their respective owners, officers, directors, members, employees, and agents against such claims, losses, and damages. In addition, Exhibitor acknowledges that neither The American Academy of Periodontology, nor the Boston Convention & Exhibition Center maintains insurance covering Exhibitor’s displays, equipment or other property, or covering Exhibitor’s employees or agents, and that it is the sole responsibility of Exhibitor to obtain appropriate liability, property damage, and business interruption insurance covering such losses. Authorized Signature Printed Name Title Date Return contract to: PAYMENT SCHEDULE: A $1,000 deposit per 100 square feet of space is due for booths reserved on September 12, 2016, or September 13, 2016 during the on-site booth selection in San Diego. The remaining balance is due on or before March 17, 2017. All cancellations must be made in writing. Booths cancelled by January 6, 2017 are subject to a $250 cancellation fee. Cancellations received between January 7 and March 17, 2017, are eligible to receive a 50 percent refund of the total booth rental fee. Cancellations/reductions after March 17, 2017, are not eligible to receive a refund. The Exhibitor understands that this application must be accompanied by the appropriate payment due. The Exhibitor understands that the assigned space will be charged at the rate of $37 per square foot with an additional $250 charge for each corner. A $1,000 per 100 square feet is due with all contracts that are received prior to March 17, 2017 with FINAL payments due on March 17, 2017. All l contracts submitted after March 17, 2017 must include full payment. The undersigned (hereafter called the Exhibitor) hereby applies for space in the 2017 American Academy of Periodontology Annual Meeting Exhibition scheduled to be held at the Boston Convention & Exhibition Center, Boston, MA, September 10 – 12, 2017. The Exhibitor understands that this application must be accompanied by the appropriate payment due. The Exhibitor hereby acknowledges receipt of and agrees to abide by the Exhibitor Regulations as printed in the 2017 AAP Annual Meeting Exhibitor Prospectus (Invitation to Exhibit), and which are made a part of this contract by reference and fully incorporated herein, and to all conditions under which exhibit space at the Boston Convention & Exhibition Center is leased to the American Academy of Periodontology. BOOTH ASSIGNMENT: Booth assignments on September 12-13, 2016; while on-site in San Diego will be assigned under the priority point system. All other booths will be assigned on a first-come, first-served basis. Please Type or Print: Company Address City State Zip Country Phone Fax Web site address Information listed below is for ALL exhibit related information only and will not be published. Send all Exhibition information to: Contact Name Contact ID No (For AAP Use Only) Phone Extension Fax E-mail address ** The American Academy of Periodontology 737 N. Michigan Avenue, Suite 800 Exhibits Manager - Chicago, IL 60611-2690 Fax: 312-573-3225 For AAP Use Only I.D.#_______________________________ Order # ____________________________ Booth Request 1. _____________ Booth size requested (each unit is 10’ x 10’) q Yes q No Corner requested (Corners are charged at the rate of $250 per corner) q Yes q No Peninsula Booth requested q Yes q No Island Booth requested 2. The Exhibitor prefers the following booth numbers: (please complete all 6 selections) 1st choice ________ 2nd choice ________ 3rd choice ________ 4th choice ________ 5th choice ________ 6th choice ________ 3. Exhibitor does not wish to be in immediate proximity of the following companies: (The sponsor will attempt to adhere Exhibitor’s request, but cannot guarantee the above) 4. Note any special circumstances you wish to be considered when space is assigned: Payment q Payment Amount __________________ q Check #__________________________ (payable to the American Academy of Periodontology) q VISA o MasterCard o AMEX q 100% payment ___________ Initial here to authorize credit card payment for deposit and balance due (if applicable) The AAP does accept wire transfers. Please contact [email protected] for additional information. Credit Card # Security Code # Expires Authorized Signature Printed Name q Check here if you are a new exhibitor to the AAP q Check here if you will sell products on the Exhibit Floor q Deposit of $1,000 per 100 square feet of exhibit space submitted with contract (Full payment required after March 17, 2017) q Certificate of Insurance will be required q Authorized Signature q Completion of Section B (Reverse Side) Note: submitted contracts will not be processed without the following: APPLICATION AND CONTRACT FOR EXHIBIT SPACE — A
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Transcript of APPLICATION AND CONTRACT FOR EXHIBIT … ASSIGNMENT: Booth assignments on ... APPLICATION AND...
B STON
B STON 103RD ANNUAL MEETING EXHIBITION OF THE AMERICAN ACADEMY OF PERIODONTOLOGYBoston Convention & Exhibition Center •Boston, MA • September 10-12, 2017
** Important, as all Exhibitor bulletins and important updates will be sent via e-mail.
Exhibitor has read and understands the 2017 AAP Annual Meeting Rules and Regulations and agrees to abide by all of their terms. Exhibitor understands that the AAP is under no obligation to accept this application. Exhibitor further understands that the AAP will accept an application only if, in its sole judgment, it believes the Exhibitor will comply with these Regulations, and if there is adequate space.Exhibitor assumes the entire responsibility and liability for all claims, losses, and damages to persons or property, governmental charges or fines, attorney’s fees, and other costs caused by or in any manner arising out of or associated with Exhibitor’s installation, maintenance, removal, occupancy, or use of the exhibit space or any part thereof, and Exhibitor agrees to protect, indemnify, defend and hold harmless the American Academy of Periodontology, the Massachusetts Convention Center Authority, the Boston Convention & Exhibition Center, and their respective owners, officers, directors, members, employees, and agents against such claims, losses, and damages. In addition, Exhibitor acknowledges that neither The American Academy of Periodontology, nor the Boston Convention & Exhibition Center maintains insurance covering Exhibitor’s displays, equipment or other property, or covering Exhibitor’s employees or agents, and that it is the sole responsibility of Exhibitor to obtain appropriate liability, property damage, and business interruption insurance covering such losses.
Authorized Signature Printed Name
Title Date
Return contract to:
PAYMENT SCHEDULE: A $1,000 deposit per 100 square feet of space is due for booths reserved on September 12, 2016, or September 13, 2016 during the on-site booth selection in San Diego. The remaining balance is due on or before March 17, 2017.
All cancellations must be made in writing. Booths cancelled by January 6, 2017 are subject to a $250 cancellation fee. Cancellations received between January 7 and March 17, 2017, are eligible to receive a 50 percent refund of the total booth rental fee. Cancellations/reductions after March 17, 2017, are not eligible to receive a refund.
The Exhibitor understands that this application must be accompanied by the appropriate payment due. The Exhibitor understands that the assigned space will be charged at the rate of $37 per square foot with an additional $250 charge for each corner. A $1,000 per 100 square feet is due with all contracts that are received prior to March 17, 2017 with FINAL payments due on March 17, 2017. All l contracts submitted after March 17, 2017 must include full payment.
The undersigned (hereafter called the Exhibitor) hereby applies for space in the 2017 American Academy of Periodontology Annual Meeting Exhibition scheduled to be held at the Boston Convention & Exhibition Center, Boston, MA, September 10 – 12, 2017. The Exhibitor understands that this application must be accompanied by the appropriate payment due. The Exhibitor hereby acknowledges receipt of and agrees to abide by the Exhibitor Regulations as printed in the 2017 AAP Annual Meeting Exhibitor Prospectus (Invitation to Exhibit), and which are made a part of this contract by reference and fully incorporated herein, and to all conditions under which exhibit space at the Boston Convention & Exhibition Center is leased to the American Academy of Periodontology.
BOOTH ASSIGNMENT: Booth assignments on September 12-13, 2016; while on-site in San Diego will be assigned under the priority point system. All other booths will be assigned on a first-come, first-served basis.
Please Type or Print:
Company
Address City State Zip
Country
Phone Fax Web site address
Information listed below is for ALL exhibit related information only and will not be published. Send all Exhibition information to:
Contact Name Contact ID No (For AAP Use Only)
Phone Extension Fax
E-mail address **
The American Academy of Periodontology 737 N. Michigan Avenue, Suite 800 Exhibits Manager - Chicago, IL 60611-2690Fax: 312-573-3225
For AAP Use Only I.D.#_______________________________ Order # ____________________________
Booth Request
1. _____________ Booth size requested (each unit is 10’ x 10’)
q Yes q No Corner requested (Corners are charged at the rate of $250 per corner)
q Yes q No Peninsula Booth requested q Yes q No Island Booth requested
2. The Exhibitor prefers the following booth numbers: (please complete all 6 selections)
1st choice ________ 2nd choice ________
3rd choice ________ 4th choice ________
5th choice ________ 6th choice ________
3. Exhibitor does not wish to be in immediate proximity of the following companies:
(The sponsor will attempt to adhere Exhibitor’s request, but cannot guarantee the above)
4. Note any special circumstances you wish to be considered when space is assigned:
Payment
q Payment Amount __________________
q Check #__________________________ (payable to the American Academy of Periodontology)
q VISA o MasterCard o AMEX
q 100% payment
___________ Initial here to authorize credit card payment for deposit and balance due (if applicable)
The AAP does accept wire transfers. Please contact [email protected] for additional information.
Credit Card #
Security Code #
Expires
Authorized Signature
Printed Name
q Check here if you are a new exhibitor to the AAP q Check here if you will sell products on the Exhibit Floor
q Deposit of $1,000 per 100 square feet of exhibit space submitted with contract (Full payment required after March 17, 2017)
q Certificate of Insurance will be requiredq Authorized Signatureq Completion of Section B (Reverse Side)
Note: submitted contracts will not be processed without the following:
APPLICATION AND CONTRACT FOR EXHIBIT SPACE — A
q 3D Navigationq Abrasivesq Absorbentsq Acrylicsq Adhesivesq Alginatesq Amalgams and Accessoriesq Analgesia Equipment and Accessoriesq Anesthesia Equipment and Accessoriesq Anestheticsq Aprons, Leadq Articulating Paper, Film and Ribbonq Articulatorsq Aseptic Water Systemsq Audiovisual Productsq Autoclaves, Sterilizers and Accessoriesq Blood Pressure Unitsq Bookkeeping Systemsq Books, Journals, Publicationsq Burs, Stones, Points and Blocksq Business and Patient Record Formsq Camerasq Cardiac Monitoring Equipmentq Cementsq Cheek Retractorsq Cleaners, Ultrasonicq Composite Instruments and Accessoriesq Compositesq Compressors, Air and Accessoriesq Computer Hardware and Servicesq Computer Imagingq Computer Softwareq Continuing Educationq Cotton Productsq Crown Removerq Crownsq Defoggersq Dentifricesq Denture Base, Reline and Repair Materialsq Diagnostic Equipmentq Diagnostic Testingq Diamond Points and Discsq Disc, Mandrels and Stripsq Disposable Productsq Education/CEq Electrosurgical Equipmentq Elevatorsq Emergency Equipment
q Emergency Kitsq Endodontic Instruments and Materialsq Eugenolsq Evacuators and Evacuator Systemsq Eyeware, Protectiveq Face Masks and Shieldsq Financial Programsq Floss Productsq Fluoride Productsq Furniture and Accessoriesq Glovesq Graft and Regeneration Materialsq Handpieces, Operating and Laboratoryq Hygiene Kitsq Implant Systems and Devicesq Impression Materialsq Impression Systemsq Infection Control Productsq Instruments, Generalq Instruments, Surgicalq Insuranceq Intraoral Camerasq Irrigators, Oralq Laboratory Servicesq Lasersq Lights, Operatingq Lights, Otherq Linersq Loupesq Lubricantsq Magnification Equipmentq Management and Consulting Servicesq Market Researchq Matrices and Accessoriesq Medicamentsq Microscopesq Mirrorsq Models, Demonstrations
q Mouthpropsq Mouthwashes and Rinsesq Needlesq Office Decorq Office Design/Space Planning Servicesq Operating Room Equipment and Suppliesq Oral Hygiene Aidsq Orthodontic Appliances, Materials
and Accessoriesq Oxygen Equipmentq Pads, Mixingq Paper Productsq Patient Educationq Periodontal Materialsq Personnel and Recruiting Servicesq Pharmaceuticalsq Photographic Equipment and Suppliesq Plaque Control Products an Accessoriesq Polishesq Porcelainq Portable Equipmentq Practice Marketingq Practice Managementq Preventative Dental Productsq Probes, Manual and Electronicq Prophy Brushes and Capsq Prophy Materialsq Prosthodontic Appliances, Materials
and Accessoriesq Pulp Testersq Pulse Oximetersq Pumpsq Reamersq Reinforcement Materialsq Repair Services and Kitsq Resinsq Retainersq Retraction Materials
q Rubber Dam and Accessoriesq Saliva Ejectorsq Scalersq Scalers, Ultrasonicq Scavenger Products and Accessoriesq Sharpeners, Instrumentq Silicatesq Soaps, Lotions, Cleansersq Solutionsq Solutions, Sterilizingq Splinting Materialsq Sterilizing Equipment and Accessoriesq Stonesq Surgical Suppliesq Suturesq Syringesq TMJ Diagnostic Suppliesq Toothbrushes, Manualq Toothbrushes, Powerq Trays and Accessoriesq Trays, Impressionq Tubing and Accessoriesq Ultrasonic Equipmentq Ultrasonic Suppliesq Uniforms and Other Garmentsq Units and Accessoriesq Units and Components, Delivery Systemsq Vacuum Formers, Splint and Copingq Vacuum Units and Accessories, Oral
Evacuationq Water Filters and Distillersq Whitening Products/Systemsq Website Designq X-Ray Film and Suppliesq X-Ray Machines and Equipmentq X-Ray Processors and Accessoriesq Miscellaneous (Specify)
EXHIBITORS MUST COMPLETE SECTIONS A and B BEFORE CONTRACT CAN BE PROCESSED.
1. PLEASE STATE THE FDA STATUS OF THE PRODUCT(S) TO BE DISPLAYED, IF APPLICABLE:
2. IF ANY OF THESE PRODUCTS ARE CURRENTLY IN LITIGATION WITH A GOVERNMENT AGENCY OR ARE THE SUBJECT OF AN UNFAVORABLE OR CAUTIONARY REPORT BY AN AGENCY OF THE AMERICAN DENTAL ASSOCIATION, PLEASE NOTE HERE AND EXPLAIN:
3. PRODUCT CATEGORY INDEX - CHECK EACH ITEM THAT YOU WILL HAVE ON DISPLAY AT THE ANNUAL MEETING: LIMIT OF SIX (6)
For AAP Use Only
Booth #(s) assigned ______________ Size_____________________________ Contract received date ___________
Booth Cost $ ____________________ Corner Cost $ ____________________ Total Cost $ ____________________
Deposit Received $ _______________ Balance Due $ ___________________ Accepted for AAP by ____________
Final Received $ _________________
B STON
B STON 103RD ANNUAL MEETING EXHIBITION OF THE AMERICAN ACADEMY OF PERIODONTOLOGYBoston Convention & Exhibition Center •Boston, MA • September 10-12, 2017
APPLICATION AND CONTRACT FOR EXHIBIT SPACE — B
