2017 NEW JERSEY LEAGUE FOR NURSING CONVENTION
CONTRACT FOR EXHIBIT SPACE
March 29 & 30, 2017
Tropicana Casino & Resort, Atlantic City, NJ
PRINT OR TYPE ALL INFORMATION: The 2017 NEW JERSEY LEAGUE FOR NURSING CONVENTION Exhibition Rules and Regulations information will be available in January on the NJLN web site at: www.NJLN.org. By completing this contract it becomes a binding agreement between the company named and the New Jersey League for Nursing.
****PLEASE ATTACH A BUSINESS CARD FOR
EACH PERSON LISTED ON THIS CONTRACT****
COMPANY
NAME: ________________________________________________________________________________________________
ADDRESS- ___________________________________________________________ E-Mail ____________________@_________
CITY: _________________________________ STATE: _________ ZIP: _________ PHONE:( ) ____________________
AUTHORIZED SIGNATURE:_________________________________________ TITLE:_______________________________
PRINT NAME: ____________________________________________________ DATE:__________________________
EXHIBITOR AGENT:, The name of the individual, if different from above, who is to receive all further Exhibitor correspondence from NJLN and it's agents:
NAME: ______________________________________________________ TITLE: _______________________________________
ADDRESS- __________________________________________________ E-Mail: _______________________________________
CITY: __________________________________ STATE: __________ ZIP: ____________ PHONE:( ) ___________________
OFFICIAL IDENTIFICATION: Exhibitor hereby notifies NJLN that the name of the exhibiting firm is to appear in print (signage/program) as follows. We reserve the right to make abbreviations as needed to fit space allowed.
Exhibit Booth Representative(s): The name(s) of the individuals who will operate the exhibit booth. Maximum of two representatives included with registration fee. Lunch tickets will only be provided for the individuals listed. Additional representatives must pay a fee of $50 per person to participate in the convention, be at the exhibit booth, and enjoy all refreshments.
PLEASE PRINT:
#1 NAME:_____________________________________________#2 NAME: ___________________________________________
#3 NAME @ $50:____________________________________ #4 NAME @ $50____________________________________
CONTRACT FOR SPACE: NJLN retains an exclusive right to accept or reject any Exhibit Contract to exhibit at the New Jersey League For Nursing Convention. In the event a contract is rejected, you will be notified and any fee tendered will be returned to the company.
(Continued on Reverse Side—BOTH SIDES OF CONTRACT MUST BE COMPLETED)
EXHIBIT DISPLAY INFORMATION: (one 4-outlet box is provided free of charge)
Do you require an additional electrical outlet box? ( ) Yes ( ) No (Standard 110Volt) ($50 per additional box) Additional fee required for higher voltage outlets and multi-outlets.
Is exhibit a ( ) Table-Top Display or ( ) Floor-Standing Display?
Will exhibit include large equipment such as hospital beds, monitors, etc.? ( ) Yes ( ) No
Specify any special exhibit needs you may have: ________________________________________
EXHIBIT FEES: (Please Read Payment Requirements Carefully)
TO QUALIFY FOR ADVANCE RATES, FULL PAYMENT MUST ACCOMPANY
SIGNED CONTRACT BY THE DATES INDICATED.**
A PURCHASE ORDER OR FAXED CONTRACT DOES NOT QUALIFY TO RECEIVE
THE ADVANCE RATE UNLESS PAID BY 2/15/2017 .
A FAX CONTRACT DOES NOT GUARANTEE EXHIBIT RESERVATION WITHOUT
A CREDIT CARD.
All exhibit fees through purchase orders must be paid prior to March 1, 2017 or exhibit space cannot be assigned. We must make this policy, due to non-payment by some companies.
SPECIAL---SAVE EXTRA $100!!
Exhibit Registration & FULL PAYMENT by 2/15/2017…$750.00**
Exhibit Registration and full payment PRIOR to 2/15/2017*…………………………...$750.00**
Exhibit Registration AFTER 2/15/2017 ............................................................................... $850.00
BOOTH SPACE/ ADDITIONAL REP. FEES: ................................. PAYMENT METHODS:
Number of 8'x10' Booth(s) _____at $ ____ = $ _______ Check Enclosed for $ _______ (US Funds)
Additional Representatives #_____at $50.00 ea. = $ ______ **Purchase Order for $________
TOTAL $ ______ **(Advance discount does not apply if payment received AFTER 2/15/2017
Please charge my credit card for the total shown above: ( ) Visa ( ) Mastercard
Credit Card # ________ - ________ - ________- ________ Expiration: __ /____ Security Code: ____
Print Name On Card: ____________________________________________
Billing Address: _________________________ City______________St:________Zip:_________
Please make checks payable to: ‘NJ LEAGUE FOR NURSING”
Mail contract and payment to: NJLN, 332 North Ave—P.O. Box 165, Garwood, NJ 07027
Contact: Susan Chandler – Phone and Fax: (908) 789-3398
E-Mail: NJLNCHANDLER@gmail.com
rev. 1/13/17
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