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The National Center for Assisted Living American Healthcare Association

CHCA Exhibit Space Application


Download Fall Exhibitor application Or fill in the application form below.

  Contact Information                                              3/11/2010
  Your IP Address
  Conference:  
  Name of Company:  
  Contact Person:  
  Company Address:
  Mailing Address For Person to
  Receive All Exhbit Show Information 		 
City:    
State:       Zip:     
  Company Description
  Phone Number : Ext   (111-111-1111:111)
  Fax Number (111-111-1111)
  Email  
  How many people will be representing your
  company for BOTH exhibit days ?		 Number of People:
Email:
  List the first four choices of Booth Locations:
1st:  
2nd:
3rd:  
4th:  

 YOU MUST RECEIVE A SEPERATE ELECTRICAL NEEDS CONTRACT THAT MUST BE MAILED TO THE HOTEL


 List companies you do not want to be placed   near your company's booth:

This application and contract is made in accordance with the rules and the following fee schedule for each 8' deep X 10' wide booth:   $500 Deposit Required
  • Hospitality Suite $500 (Room only) Must reserve through CHCA.
  • Exhibitor - non-member $1,200.00
  • Exhibitor, Silver Associate Member $850.00
  • High Value Corner Booth - $100.00 extra, $200.00 for non-members
  • Exhibitor, Platinum Associate Member (receives 1 booth free) Add’l. booth $850.00.00
  • Name Tags: $20.00 fee for name tags prepared on-site

  Name Tags:


Only Those Listed Will Have A Nametag Prepared Which Will Allow Them Access To The Exhibit Hall:

Nametags will be prepared at the exhibitor registration area for those replacing pre-registered exhibitors or for new registrants. There will be a $5.00 fee for nametags prepared on-site. Thank you for your cooperation!



  As name to be appeared on tag:

   First name and Last Name
1: 2: 3: 4:



  



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