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Exhibitor Kit - Healthcare Design

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Gaylord Palms Resort - Florida Exhibit Hall A-F<br />

Kissimmee, FL<br />

November 16-19, 2013<br />

Required<br />

Form<br />

This form must accompany any completed order form(s) submitted to Brede.<br />

A credit card must be on file prior to the delivery of any goods or services.<br />

Orders received without full payment or credit card information will not be processed.<br />

Add to my calendar<br />

Terms<br />

• All charges must be paid prior to close of show.<br />

• Orders received without full payment or credit card information will not be processed.<br />

• A credit card on file is required when using Brede Exposition Services.<br />

• Submitting credit card information and signature indicates agreement with the terms below.<br />

Credit<br />

Card<br />

I authorize Brede Exposition Services to charge any additional amounts incurred<br />

by me or my show representative, including material handling and/or labor charges.<br />

If credit card is declined, Standard Floor pricing prevails and a $25.00 service<br />

charge will be added.<br />

Third Party Payer<br />

Cardholder’s name (please print):<br />

Cardholder’s Signature:<br />

Cardholder’s Billing Address:<br />

City: State: Zip:<br />

Phone:<br />

Fax:<br />

Email:<br />

VISA MC AMEX<br />

EXP<br />

Credit Card Authorization<br />

Booth Number<br />

Exhibiting Company<br />

COMPLETE and SUBMIT this form:<br />

by mail Brede Exposition Services | 2501 East Magnolia Street | Phoenix, AZ 85034-6918 | USA by fax 602.275.0584

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