Society for Pediatric Urgent Care (SPUC)

SPUC 5th Annual Conference

Cook Children's Medical Center, Fort Worth TX
September 26-29, 2019

EXHIBITOR AGREEMENT

We wish to participate at the following level:

Click on levels to expand/close benefits

  Fees (USD)
$5,000
$2,500
$2,000
$1,500
$1,000
 

     Enter number of badges: @
$100/person

Advertising and Promotional Opportunities:

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

  Fees (USD)
Full page ad - outside back cover of program  ** Sold Out ** $500
$400
$5,000
$5,000
$3,500

PAYMENT
Payment is due in full by July 26, 2019.

CANCELLATION
Written cancellations received in the SPUC office by July 26, 2019 will receive a 50% refund.  There are no refunds for cancellations received after July 26, 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 Society for Pediatric Urgent Care, 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.

Payment Method:



Make checks payable to "SPUC". 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