MSGNA

Michigan Society of Gastroenterology

Nurses and Associates
Text Box: MICHIGAN SGNA CONFERENCE “Stars of GI” Somerset Inn 2601 West Big Beaver Troy, MI 48084 Exhibit Space Allocation Contract BOOTH SPACE The Undersigned agrees to the following provisions: Space will be assigned by the Vendor Coordinator as the money/contracts are received. Contracts will be accepted on first come, first served basis, and tables are limited. We enclose the full fee of our “Per Price” exhibit. This fee is due by February 13, 2010. Lunch and refreshments will be provided for two (2) exhibitors. Additional persons will be at $25.00 each. We further agree to abide by the rules and regulations set forth by the facility and MSGNA. We will be following the guidelines set by SGNA. REGISTRATION INFORMATION – (Please print) Exhibit space fee is $350.00 for each six foot (6’) skirted table. We request table(s) at the MSGNA Annual Fall Conference. Company Name: Vendor Name(s): Regional Contact: Address: City/State/Zip: State: Zip: Telephone Number: E-Mail Address: Signature/Title Date: Name and Address to send confirmation information: Reservation—6” table and 2 representatives $350.00 Additional Company Representatives $100.00 each Total amount enclosed: Make checks payable to: MSGNA in US Funds TAX (TIN) 36-4234108 Send to: Sandy Hansen LPN, CGN c/o MSGNA 1112 Wyllys Midland, MI 48642 Telephone: (989) 835-4348 E-Mail: GINurse45@aol.com

 

EXHIBITOR WORKSHEET

Please Print All Information

 

COMPANY NAME:                                                                                                          

 

Product(s) to be Exhibited (Please be specific):                                                    

                                                                                                                                              

                                                                                                                                              

                                                                                                                                              

                                                                                                                                              

 

Will you need electrical power? Yes______ No______

 

Names of Representatives Attending:

 

1.                                                                                                                                         

2.                                                                                                                                         

3.                                                                                                                                         

4.                                                                                                                                         

 

Contact Person:

 

Name:                                                                                                                                 

 

Telephone:                                                                                                                         

 

E-Mail:                                                                                                                                 

 

Company Name printed in the syllabus as:                                                            

 

I am interested in sponsoring:

             Lunch                                                                   Speaker

             Break                                                                    Educational Grant

             Door Prize                                                          Printing of Syllabus Materials

             Binders                                                                Continental Breakfast

             Other:                                                                                                                      

 

Thank you for completing this worksheet. This information is helpful in allocating table space and helps avoid conflicts and confusion on the exhibit day.

 

This amount can be added to the table fee and we be submitted to SGNA to be counted toward the sponsorship program.

 

Contact Sandy Hansen for specific questions regarding sponsorship at

(989) 835-4348 or GINurse45@aol.com.

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