EXHIBITOR Registration Form

This Exhibit Agreement INCLUDES

A 6-foot draped table and one chair

This Exhibit Agreement DOES NOT INCLUDE:

Cleaning and/or maintenance of individual booths
Drayage and placement of display equipment
Decoration and related services
Guard/security services
Labor (i.e. carpenters, electricians, drapery persons, and/or upholsterers)
Storage of any exhibit-related materials before or after conference
Additional lighting and/or electrical power and telephone
Gas or water supply

Exhibits should be set up on June 18 before 8:00 a.m. Exhibits should be closed down by 5:00 p.m. on Saturday, June 20, 2009.

Red items must be completed to best serve you.

Organization:

Contact First Name:

Last Name:

Address:

City:

State:

Zip:

Phone Number:

Fax Number:

Email:

Enter a short (5-6 sentence) company description.

EXHIBIT LEVELS: (please check one)

Special Exhibitor $550
Standard Exhibitor $250

SPECIAL EXHIBITOR - $550 Exhibitor will receive:

One 6-foot draped table and a chair
One complimentary registration to participate in the conference
Listing in conference program as an exhibitor
Listing on the NARMH web site in the 2008 Conference section as a conference exhibitor
A link from the 2009 Conference section of the NARMH web site to the exhibitor’s web site

STANDARD EXHIBITOR - $250 Exhibitor will receive:

One 6-foot draped table and a chair
Listing in Conference Program as an exhibitor
Listing on the NARMH web site in the 2009 Conference section as a conference exhibitor

As an exhibitor at the National Association for Rural Mental Health Conference in Albuquerque, New Mexico, June 18-20, 2009 I understand and agree to the following:

Exhibitor assumes responsibility and agrees to indemnify and defend the National Association for Rural Mental Health and Hyatt Regency and their respective employees and agents against any claims or expenses arising out of the use of the exhibition premises. Exhibitor understands that neither the National Association for Rural Mental Health nor the Hyatt Regency maintains insurance covering the Exhibitor’s property and it is the sole responsibility of the Exhibitor to obtain such insurance.

PAYMENT OPTIONS: (please choose one)

Check
Invoice
Paypal

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