Microsoft Word - SERMACS 2018 BOOTH APPLICATION AND ...
SERMACS 2021 EXPOSITION BOOTH APPLICATION AND CONTRACTNovember 10 - 13, 2021, Birmingham, ALI (We) agree to abide by the EXPOSITION RULES AND REGULATIONS (included in this packet) and, in accordance with, also hereby apply for exposition space on November 11 and 12 at SERMACS 2021 to be held November 10 - 13, 2021 in Birmigham, AL .BOOTH assignments cannot be made without this FORM and PAYMENT691515146050BOOTH assignments cannot be made without this FORM and PAYMENTBOOTH TYPE single $1000 [$1200 after Sept 1, 2021 ]double $1800 [$2000 after Sept 1, 2021]1st choice2nd choice3rd choiceBooth reservation numberIf you desire more than one contiguous booth, list all booths desired as one choice. See website for booth numbers.Checks payable toAmerican Chemical Society, place for SERMACS 2021in memoPayment bycheckVISAMCAmExCredit Card #exp dateCredit Card SignaturePrinted Name (as shown on card)Send Application Form With Payment Information To:Cindy WillinghamExposition Chair, SERMACS 2021UAB AMSTI1720 2nd Ave SouthBirmingham, Alabama 35294205-934-4011ciwillin@uab.edu00BOOTH assignments cannot be made without this FORM and PAYMENTBOOTH TYPE single $1000 [$1200 after Sept 1, 2021 ]double $1800 [$2000 after Sept 1, 2021]1st choice2nd choice3rd choiceBooth reservation numberIf you desire more than one contiguous booth, list all booths desired as one choice. See website for booth numbers.Checks payable toAmerican Chemical Society, place for SERMACS 2021in memoPayment bycheckVISAMCAmExCredit Card #exp dateCredit Card SignaturePrinted Name (as shown on card)Send Application Form With Payment Information To:Cindy WillinghamExposition Chair, SERMACS 2021UAB AMSTI1720 2nd Ave SouthBirmingham, Alabama 35294205-934-4011ciwillin@uab.eduIt is understood and agreed that SERMACS 2021 will endeavor to assign space in order of choice. If all spaces have been assigned previously, the Exposition Chair reserves the right to assign space as equitably as possible in accordance with the stated exhibitor panySend Booth Confirmation and additional information to: Person Responsible for Booth Set- up on Wednesday Nov. 10: Contact Person Address 182880013716000411480013716000182880029464000411480029464000Phone/FAX email Names for Exhibitor Badges (1) Authorized Exhibitor Signature Printed Name (2) ................
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