Psychiatric Society of Virginia (PSV)

PSV 2019 Spring Meeting

UVA Inn at Darden, Charlottesville VA
March 29-30, 2019

EXHIBITOR AGREEMENT

We wish to participate at the following level:

Click on levels to expand/close benefits

  Fees (USD)
$3,000
$2,500
$2,000
$1,400
 

     Enter number of badges: @
$100/person

Advertising and Promotional Opportunities:

To take advantage of these opportunities, check all that apply.

  Fees (USD)
$500
$400
$200
$250
$500
$1,500
$2,500

Payment and Cancellation information:

Federal Tax ID #: 54-0829762 501(c)(3)

PAYMENT
Payment is due in full by January 30, 2019.

CANCELLATION
Written cancellations received in the PSV office by January 30, 2019 will receive a 50% refund.  There are no refunds for cancellations received after January 30, 2019.

LIABILITY
Exhibitor assumes all risks and responsibilities for accidents, injuries or damages to person or property and agrees to indemnify and hold harmless the Psychiatric Society of Virginia, its officers, directors, trustees, employees, agents and contractors, from any and all claims, liabilities, losses, costs and expenses (including attorneys’ fees) arising from or in connection with Exhibitor’s participation in the Activity.

PSV Exhibit Application Qualifications
This meeting is a private meeting for District Branch members and exhibitors whose products are in line with the district branch’s mission.  We will consider all applications for exhibit space but reserve the right to reject any application which the district branch in its sole discretion determines is not consistent with our mission.

Payment Method:



Make checks payable to "PSV". Payment is due within 30 days or before exhibit date, whichever comes first. An invoice will be generated and emailed to you.
Name on card:
Card number:
Expiration date: /
Security Code:
  The security code is the 4 digit number on the front of Amex cards and the 3 digit number on the back of MasterCard, Visa, and Discover cards.
Card Billing Address:
Card Billing Zip Code:

By signing below, you agree to be bound by the terms of this agreement.

Exhibitor Authorized Signature (Type name above) Date