Fall Seminar 2019 - MOA Sponsorship + Exhibit Registration

Organization Information:

The contact person listed below will be notified of exhibit hall set-up and tear-down times no later than one-month prior to the event date.

Organization Name:
Contact First Name:
Contact Last Name:
Email Address:
Company Address:
City: State: Zip:
Company Website:

Contributing Sponsorship:

We are pleased to offer a contributing sponsorship for this seminar. Contributing sponsorships includes: One booth space with electricity, inclusion in all pre-event advertising, recognition in the event program, one-third page ad in conference program, logo on prominent signage in the meeting venue, company name and logo with link on conference website, lanyard sponsor (sponsor provides), complete list of attendees following the event

YES, we want to be a 2019 Fall Seminar Contributing Sponsor $3000
PLEASE NOTE: If you sign up to be a Contributing Sponsor DO NOT SELECT NUMBER OF BOOTHS, one is included with the contributing sponsorship. If you sign up to be a Contributing Sponsor, PLEASE COMPLETE REPRESENTATIVE INFORMATION in the appropriate seminar/conference section below.

Exhibit Booth:

Please select the number of booths you want to reserve:

Do you need electricity run to your booth?

List the names of representatives that will be in attendance. If reserving one booth, you are allowed up to three booth representatives. If reserving two or more booths you are allowed up to five representatives.

Rep 1 Name: Email:
Rep 2 Name: Email:
Rep 3 Name: Email:
Rep 4 Name: Email:
Rep 5 Name: Email:
Diet restrictions:

Would you like to purchase ad space in the 2019 MOA Fall Seminar Program?

Would you like to purchase e-blast advertising that deploys to 2019 MOA Fall Seminar attendees?

Would you like to purchase a broadcast e-blast that deploys to the MOA membership?

Would you like to sponsor a CE seminar speaker?

If sponsoring a CE seminar speaker, please indicate topic.

Terms and Conditions:

Thank you for working with us to advance and support optometry in serving eye care needs in Michigan.

• Payment in full is due within 45 days of contract submission.
• Exhibit booth representatives due no later than three weeks prior to CE event.
• Exhibit booth includes, booth drapes, exhibitor identification sign, one skirted and covered six foot table, two chairs, and one electrical outlet (if indicated on contract). Fees quoted do not include special lighting, special signs, shipping or placement of display equipment. Multiple space exhibitors will receive the same amenities as a single space exhibit booth.
• Booths will be set up and coordinated by Art Craft Display, Inc. of Lansing for Fall Seminar
• Registrants will receive via email an exhibitor kit and advanced shipping instructions after exhibitor registration forms are received.
• Booths will be offered to MOA Partner Program participants first, event sponsors second, and then on an "as received" basis for remaining exhibitors.
• Exhibit booth material, equipment, and literature must meet the professional standards of the MOA. The association reserves the right to prohibit any person from exhibiting if, in the opinion of the association, a display is not suitable nor in keeping with the character of CE.
• Lunches and coffee breaks for exhibitors are included in exhibitor registration fees.
• Exhibitors are responsible for staffing booths and security during exhibit hours.
• At the MOA Fall Seminar Exhibit areas will be locked during non-exhibit hours.
• Confirmation of exhibitor registration, booth floor plan, space assignment, set-up and tear-down hours, hall hours, and shipping instructions, will be emailed no later than 30 days prior to event.
• Exhibitors are responsible for making their own overnight room reservations. Room rates and promo codes can be found on www.themoa.org conference pages.
• For good cause, exhibit space applications may be canceled, less a $50 administration fee, if notice is received by the Michigan Optometric Association not later than three weeks prior to event.

Electronic Signature:

On behalf of company listed above in this contract (Exhibitor) I, the authorized representative, hereby agree to rent exhibit booth space and /or sponsor the Michigan Optometric Association (MOA) at the indicated events on the 2019 Michigan Optometric Association Exhibit and/or Sponsor Contract - A and will adhere to the under the terms and conditions of this contract.

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