Exhibitor Prospectus - Society for Maternal-Fetal Medicine

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ICW (In Conjunction With) Meeting Application SMFM 33 rd Annual Meeting – The Pregnancy Meeting February 11-16, 2013 • Hilton San Francisco at Union Square Only exhibiting companies may request ICW meeting space. Please complete a separate form for each event or meeting. Hotel representatives will be notified of approved requests, and will contact the exhibitor directly. Please PRINT all information except signature. Company _________________________________________ Contact Person ____________________________________ Phone ___________________________________________ Email ____________________________________________ Audience: o Conference Attendees o Exhibit Personnel o Press Estimated Attendance: o 1-24 o 75-99 o 25-49 o 100-149 o 50-74 Function/Meeting Planned: o Reception o Provider Focus Group o Sales Meeting o Board Meeting o Client Meeting o Users Conference/Training Session o Other (specify) _________________________________ Service Requests: *Audio Visual: o Yes o No *Food and Beverage: o Yes o No If yes, please indicate type: o Breakfast o Lunch o Reception o Break o Dinner Room Setup: o Theatre o Classroom o Conference o Rounds o Lounge o U-Shape *Company is responsible for charges incurred with these services. o Standard Administrative Fee of $400 is implemented until January 11, 2013. o Premium Administrative Fee of $500 is implemented from January 12, 2013 – February 11, 2013. ICW Administrative Fee Please submit payment information with application The application fee is as follows: Standard Administrative Fee of $400 is implemented until January 11, 2013. Premium Administrative Fee of $500 is implemented from January 12, 2013 – February 11, 2013. Date(s) and Time(s) of Meeting Date: _______________________________________ Time: _______________________________________ Non-Compete Please note that ICW functions that INCLUDE professional attendees may not compete with The Pregnancy Meeting’s official scheduled program. Agreement: I/We have read the Rules and Regulations for Exhibitor Sponsored Functions, and agree to assume all liability, and to indemnify and hold harmless SMFM from and against any and all liability, claims, and demands which may arise from or be asserted in connection with the forgoing undertakings and responsibilities. I/We also agree to abide by the parameters that have been set by SMFM for the use of function space. ________________________________________________ Authorized Company Representative (Print name) ________________________________________________ Authorized Company Representative (Signature) ________________________________________________ DATE Total:____________________ Please make check payable to SMFM and mail this form along with payment to: SMFM, Development Office, 409 12 th Street, SW, Washington DC 20024-2188. Or Fax credit card payment to: (202) 554-1132 If you prefer you may pay by Visa, MasterCard, or American Express Card Number: Expiration DATE: Security Code: Name on Card:___________________________________________________________________________________________________________________ SMFM Use Only DATE Received ______________________ PayMENT _____________________ APPrOVED by _________________________________________________ 12 | The Society for Maternal-Fetal Medicine • www.smfm.org
Enhance your presence and increase your visibility by advertising in the 2013 Meeting Program! The 2013 SMFM Annual Meeting Program is a special supplement to the prestigious American Journal of Obstetrics and Gynecology. The program lists all dates, times and events associated with the meeting as well all of the abstracts presented at the meeting. The program is an essential guide and reference book distributed to persons attending the convention as well as all subscribers to the AJOG. Your competition will be advertising, as an exhibitor, can you afford NOT to advertise? For more rate and spec information on advertising please visit: www.ajog.org or contact: Product Advertising Sales: Carol Clark, Elsevier 360 Park Ave South New York, NY 10010 Tel: 212-633-3719 • Fax: 212-633-3820 E-mail: ca.clark@elsevier.com Recruitment/Classified Advertising Sales: Traci Peppers, Elsevier 360 Park Avenue South New York, New York 10010 Tel: 212-633-3766 • Fax: 212-633-3820
Page 1 and 2: Society for Maternal Fetal-Medicine
Page 3 and 4: Table of Contents Invitation to Exh
Page 5 and 6: About the SMFM Annual Meeting - The
Page 7 and 8: 2012 SMFM Exhibitors Premier Exhibi
Page 9 and 10: Cancellation Policy Notification of
Page 11 and 12: Application to Exhibit We must rece
Page 13: In Conjunction With (ICW) Meetings

Exhibitor Prospectus - Society for Maternal-Fetal Medicine

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