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This Agreement is made by and between the associations of Advantage Healthcare Net, hereinafter referred to as Advantage and (as it appears on your advantage/Amerinet contract), hereinafter referred to as the Exhibitor.
Witnesses that for and in consideration of the premises hereinafter stated, Advantage agrees to:
Our company requires a booth sign*
If yes please indicate the "Advantage/Amerinet" company name that is on your contract to be placed on the booth sign: (If the name is not listed in the contract portfolio, it will NOT be used.)
Name on Sign (as it appears on your Advantage/Amerinet contract)
The Representatives who will staff the booth(s) are listed below:
(Please TYPE or PRINT all information as you want it to appear on your name badge. NAME BADGES will be printed from this information.) PLEASE FILL OUT THIS INFORMATION COMPLETELY. At least 1 booth representative is required. To add additional representatives, click the person icon to your right.
Company Name* (as it appears on the Advantage/Amerinet Contract)
Address*
City*
State* Please SelectAlaskaAlabamaArkansasArizonaCaliforniaColoradoConnecticutWashington DCDelawareFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyoming
Zip*
Telephone*
Fax
Advantage/Amerinet Service(s) or Product(s) to be displayed (REGISTRATIONS WITHOUT THIS INFORMATION WILL BE RETURNED AND WILL NOT HAVE A BOOTH RESERVED):
Advantage/Amerinet Service(s) or Product(s) to be displayed*
See this Update 2013 Booth Layout map. All booths are approximately 8'W X 10'D. Booth requests are handled on a FIRST RECEIVED, FIRST PAID BASIS, NO EXCEPTIONS. If your choices are not available, Advantage will assign you a booth. If electricity is needed for your booth, please be sure to bring your own extension cord.
Are you an Amerinet Choice Vendor?* Please SelectYesNo
If you are an Amerinet Choice Manufacturer or Distributor, you will be assigned a booth in the Amerinet Choice designated area. If space in this designated area is sold out, you will be assigned a booth elsewhere as close to the Amerinet Choice section as possible. Booth requests are handled on a FIRST RECEIVED, FIRST PAID BASIS, "NO EXCEPTIONS". If electricity is needed for your booth, please be sure to bring your own extension cord. Amerinet Choice Service(s) or Product(s) to be displayed*
Electricity Needed?*
Please reserve space in the order of preference indicated below.
1st Booth Choice*
2nd Booth Choice
3rd Booth Choice
4th Booth Choice
5th Booth Choice
Other Vendor Booths — Please list any competing vendors you would rather not be placed by and Advantage will try to honor your request:
DOOR PRIZES: Vendors are given the opportunity to donate door prizes to make UPDATE more exciting for the members. Each client will be given a form with a number of squares on it. The purpose of the form will be to have each square stamped or initialed by “different” vendors. The clients will then sign and drop it in a designated box in the Exhibit area. Names of the winners will be drawn randomly until all vendor prizes are given away. Each client will be eligible for one vendor door prize and each vendor will be given the opportunity to award his/her own door prize. Winners must be present!
Are you planning to donate a door prize?
How many booths do you need?* Please Select1 booth - $550.002 booths - $1,100.00 Note: Vendor Partnership program members will be discounted $50.00 on their first booth automatically.
Two (2) tickets for the Tuesday, October 22nd buffet luncheon will be furnished with each booth. Please inform us below of any additional luncheon tickets you will need. They will be inserted in your registration packet.
Additional Luncheon Tickets* Please Selectnone1 - $222 - $443 - $664 - $885 - $110 The cost for each additional luncheon ticket is $22.00.
Exhibitors are invited and encouraged to attend various sessions during Update 2013. These sessions are listed on the agenda as well as listed below. To better accommodate you, please indicate below the number of individuals who will attend each of the sessions:
Deuces Wild! Dueling Pianos
Continental Breakfast
Diagnostic Imaging CEU
Laboratory CEU
Food Services CEU
Pharmacy CEU
Med/Surg CEU
Nursing CEU
Buffet Luncheon
Sleeping room accommodations are being handled by the Holiday Inn, Fargo, ND. If you will need a sleeping room, please call Guest Services at the Holiday Inn, at 877-282-2700 (or 701-282-2700). Advantage has reserved a block of rooms for October 20 & 21. These rooms will be held until September 16, 2013. A rate of $95.00 per room per night plus tax will be honored on all rooms in the block, including standard, king leisure and poolside rooms. Be sure to reference the “Advantage Healthcare” room block.
If your company would like to sponsor or co-sponsor an event at this year’s meeting, please complete the “Update 2013 Vendor Sponsor Form.” A link to this form will be available after you complete and submit this form.
Costs are based on “last” year’s expenses or expenses already incurred this year. Vendors who choose to make a contribution to “Other” will have their donations going towards expenses for handouts, packets, badges, printing costs, various equipment rentals and other incidentals. Please be sure to indicate which event you would like to sponsor or co-sponsor. In the event the session you choose to sponsor has already been assigned to another company, you will be assigned to another event with the same monetary value.
Note: Your Company does NOT need to exhibit at Update 2013 to sponsor an event. You only need to be a contracted vendor with Advantage or Amerinet. You will receive the same promotion as if you were exhibiting.
At the present time, we are unable to accept credit cards. However, you can set up an ACH account to have your payment deposited directly into our account. If you are interested in this, please contact Mr. Kelly Cermak at 701-224-9732. You may also pay via check or money order.
I am paying by:*
Note: This form will not collect payments. When you submit this form, it will be processed and you will be emailed an invoice. You may pay the invoice with the payment method specified above.
I HEREBY AGREE TO THE TERMS & CONDITIONS OF THIS EXHIBIT INFORMATION AND CONTRACT:
Authorized Signature*
Title*
E-mail*
Date Signed*
When you click on submit, your contract will be submitted for processing by our staff. Any changes in your fees will be applied and you will receive an electronic invoice for the final amount at the email address your provided. If you do not receive the invoice within 5 business days, please contact Jodi at the Advantage office at 1-800-548-2744. Thank you!
