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Contract for Exhibitors
Application for Exhibitors

Date: ___________________

CONTRACT FOR EXHIBIT SPACE
We understand that assignments for booth space will be made whenever possible in accordance with the preferences indicated by each exhibitor, but that GLIDM cannot guarantee any particular space. Enclosed is a deposit of $750 per booth. We understand that the complete rental fee must be received by the GLIDM office by January 1, 2005. Cancellation refunds will not be honored after January 5, 2005, since all layouts are completed at this time. Applications may be faxed to the GLIDM office at 631-244-0729, however, a hard copy and deposit must be mailed to the GLIDM office within seven (7) days of the receipt of the fax (Mastercard & Visa accepted).

Please list products/services your company will be showcasing to aid the Exhibit Committee in allocating exhibit booth space.

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EXHIBIT BOOTH SIGN (Please Print)

1. _________________________________________________________________________
(Company Name)

2. _________________________________________________________________________
(City & State)

Please reserve exhibit space as requested below at The Greater Long Island Dental Meeting sponsored by the Nassau, Suffolk and Queens County Dental Societies. We understand that our use of this space is subject to the following terms and conditions within, which, upon acceptance by The Greater Long Island Dental Meeting, shall become a binding contract between the Exhibitor and The Greater Long Island Dental Meeting.

________________________________________ _________________________________
Authorized Signature Print Name

Return contract and deposit to:

THE GREATER LONG ISLAND DENTAL MEETING
1237 MONTAUK HIGHWAY
OAKDALE, NY 11769
Telephone: (631) 244-0722
Fax: (631) 244-0729