Exhibitor Application Form – Exhibitor (8x10 booth)

CANADIAN SOCIETY OF ALLERGY AND CLINICAL IMMUNOLOGY (CSACI)
SOCIÉTÉ CANADIAN D’ALLERGIE ET D’IMMUNOLOGIE CLINIQUE (SCAIC)
Annual Scientific Meeting /Réunion scientifique annuelle
October 21-24, 2015 – du 21 au 24 octobre 2015
VANCOUVER CONVENTION CENTRE, VANCOUVER, BC
Exhibitor Application Form – Exhibitor (8x10 booth)
Please complete this form, and submit via email at [email protected]
Company/Organization:
(As you would like it to appear on all representatives’ badges)
Contact Name:
Street Address:
City:
Prov:
Phone:
Fax:
Postal Code:
E-mail:
The undersigned hereby authorizes CSACI to reserve exhibit space for use by the above company or organization
and agrees to abide by the Exhibit Rules and Guidelines.
EXHIBIT INVOICES WILL BE ISSUED BY THE CSACI UPON
RECEIVING EXHIBITING CONFIRMATION. (PLEASE DO NOT SEND ANY MONIES)
Signature:
*EXHIBITOR FEES FOR ONE SPACE IS $5,500.00 CAD + 5% GST ($275.00)
TOTAL: $6,775.00
(INCLUDES ONE COMPLIMENTARY FULL DELEGATE REGISTRATION @$995.00)
GST/HST no. 87583 4392RT0001
PLEASE COMPLETE THE FOLLOWING:
1. 6’ Skirted table required:
Yes
No
2. Two chairs required:
Yes
No
3. One 2-plug electrical outlet (120v/1500 watt) required: Yes
No
4. Exhibit format:
Booth
Backdrop
Tabletop
5. Completed online registration Yes
No
Must be completed for each representative
6. Certificate of insurance with additional names insured included (see website for form): Yes No
7. Companies you would prefer not to be placed near: _________________________________________
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CANADIAN SOCIETY OF ALLERGY AND CLINICAL IMMUNOLOGY (CSACI)
SOCIÉTÉ CANADIAN D’ALLERGIE ET D’IMMUNOLOGIE CLINIQUE (SCAIC)
Annual Scientific Meeting /Réunion scientifique annuelle
October 21-24, 2015 – du 21 au 24 octobre 2015
VANCOUVER CONVENTION CENTRE, VANCOUVER, BC
Online Registration
Once payment has been received, the CSACI will forward the Exhibitor promo code for
one complimentary full delegate registration. The complimentary booth
representative registration must be done online at www.csaci.ca before September
25, 2015.
Please include name of booth representative who will receive the free registration (only one name per
booth):
1.
____________________________________________________________________
All other representative(s) from your organization attending the CSACI meeting
must complete the online registration form (at the corporate rate) by September 25,
2015.
EARLY BIRD RATE DEADLINE IS SEPTEMBER 25, 2015.
PLEASE SUBMIT THIS FORM VIA EMAIL TO:
[email protected]
Website: www.csaci.ca
P.O. Box 51045, Orleans, ON K1E 3W4
Tel: 613-986-5869
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