Exhibitor Prospectus - Heart Failure Society of America

Application for Exhibit Space
Hynes Convention Center • Boston, MA • September 13-16, 2009
To reserve exhibit space, please complete and return this application with a check payable to:
Heart Failure Society of America, Court International, Suite 240 South, 2550 University Avenue West, St. Paul, MN 55114.
Phone: (651) 642-1633, Fax: (651) 642-1502
Application to exhibit September 13-16, 2009 by and between ______________________________________________________________________________________________,
hereinafter called “Exhibitor,” and the Heart Failure Society of America, hereinafter called “HFSA.”
1. In accordance with the following terms, conditions and regulations governing exhibits of HFSA at the Hynes Convention Center, September 13-16,
2009, the undersigned hereby makes application for exhibit space, which application, when accepted by HFSA, becomes a contract. Terms and conditions
listed in the Exhibitor Prospectus, as well as those conditions under which exhibit space at the Hynes Convention Center is leased to HFSA, are a part of this
contract.
2. Cost: postmarked before 5/1/09 postmarked after 5/1/09
10 x 10 = $32/sq ft 10 x 10 = $33/sq ft
10 x 20 = $31/sq ft 10 x 20 = $32/sq ft
20 x 20 and larger = $30/sq ft 20 x 20 and larger = $31/sq ft
Payment must accompany application in order to reserve exhibit space.
3. Booth size requested: __________ x __________ = __________ sq ft. x $__________ /sq ft. = $__________ Total
4. List any companies you do not wish to be in close proximity to your booth. (Do not abbreviate company names.) __________________________________________
________________________________________________________________________________________________________________________________________________________
5. Exhibit to be listed in the program as follows (please type or print):
Company Name: ________________________________________________________________________________________________________________________________________
City and State: ____________________________________________________________________________________________________________________________________________
On an attached sheet please provide a brief description of your product or service for inclusion in the printed program (not more than 50 words). Descriptions
exceeding 50 words may be shortened at the sole discretion of the HFSA.
6. Please type or print clearly the name and title of the person who is authorized to sign this contract. This person will receive all future exhibitor
information including the Exhibitor Service Kit.
Name: _________________________________________________________ Title: _______________________________________________________________________________
Information for on-line exhibitor registration will be provided in June 2009 to the e-mail address identified below in #8.
7. Enclosed is our check* for $ _________________ (payment in full required).
8. Signature (I have read and understand the Exhibit Prospectus, and I am authorized to sign this binding agreement): _________________________________________________
Company: ________________________________________________________________________________________________________________________________________________
Address: _________________________________________________________________________________________________________________________________________________
City: ______________________________________________________________________________________ State: ______________________ Zip Code: _______________________
Telephone: _______________________________________ Fax: ____________________________________ Email: ____________________________________________________
9. To place an advertisement in the abstract issue or a regular issue of the Journal of Cardiac Failure, contact Cunningham Associates at 201-767-4170.
16
(For office use only)
Date Received
Assigned Booth No.
Cost of Booth
Amount Received
Amount Due
_ ________________
_ ________________
$________________
$________________
$________________
*Check to be made payable to
Heart Failure Society of America
(Tax ID: 06-1416238)
Mail check to:
Heart Failure Society of America
Court International, Suite 240 South
2550 University Avenue West
St. Paul, MN 55114