Online Exhibitor Update Form

Dear confirmed exhibitor: this form will allow you to digitally submit required information to IAHCSMM for the 2012 Annual Conference Expo. Please provide your contact information and then complete one or more sections of the form. Please note the deadlines per item (due to printing restrictions, we cannot offer extensions on any of the deadlines shown). If you have any immediate questions, please contact Jeff Warren via jeff@iahcsmm.org.

Section One: Descriptions

Company Name:
Submitted By (Name):
Submitted By (Email):

COMPANY DESCRIPTION

Maximum 200 words describing your company or products/services that will be at your booth. This is a complimentary service at no additional charge for exhibitors on the expo floor. Please note, contact information and website addresses are already provided preceding your description:

Due February 29, 2012

LEARNING ANNEX DESCRIPTION

Maximum 100 words detailing the presentation provided during a Learning Annex. Please also indicate duration of the presentation and if you are providing CE through IAHCSMM or nursing credits with Pfeidler Enterprises for your presentation (an additional fee is required for nursing credits payable directly with Pfeidler Enterprises). This is a complimentary service at no additional charge for exhibitors with a purchased Learning Annex on the expo floor, and is only valid for companies that have purchased one or both shifts in a Learning Annex.

Due February 29, 2012

REPAIR/EDUCATION VEHICLE DESCRIPTION

Maximum 100 words describing the offerings at your vehicle display. Please also indicate if you are providing CE through IAHCSMM or nursing credits with Pfeidler Enterprises for your presentation (an additional fee is required for nursing credits payable directly with Pfeidler Enterprises). This is a complimentary service at no additional charge for exhibitors with a purchased Repair or Education Vehicle on the expo floor, and is only valid for companies that have purchased space to display a vehicle.

Due February 29, 2012

Section Two: Vendor Raffle

BALLOON RACE

To best guarantee traffic flow throughout the exhibits, IAHCSMM and the CAC have chosen a balloon race raffle of vendor donated prizes. Registrants must visit a minimum 75% of vendor spaces on the Expo floor to be eligible for the drawings of any prizes. No additional fees are required by vendors to participate, though we do request a possible donation of a prize. Participating vendors will also be listed as sponsors for the 2012 Annual Conference. IAHCSMM will be donating a waiver of registration fee plus hotel and airfare to the next Annual Conference and Expo in San Diego, California (May 2013).

If you would like to donate a prize for the auction, please describe the item and quantity here

Donation Descriptions Due February 29, 2012

PRIZE DELIVERY METHOD

Bring on-site and deliver to IAHCSMM during Exhibitor Registration (IAHCSMM will not ship prizes to the Convention Center):

Yes
No
N/A

Ship to winner(s) within 30 days of show date:

Yes
No
N/A

Section Three: Badges

BOOTH PERSONNEL

Companies are permitted to have 4 representatives on the Expo floor per 10’x10’ booth space purchased (1 booth = 4 representatives, 2 booths = 8 representatives, etc.), per Learning Annex shift (1 shift = 4 representatives, all day = 8 representatives), or per Vehicle display (1 vehicle = 4 representatives). First name, last name and title is required per exhibitor badge. Please note, exhibit floor badges allow for admittance to any educational session for observance purposes only. If your representative is seeking CE credit for educational sessions, they must register separately as an attendee here: Registration Form

ALL BADGE INFORMATION MUST BE RECEIVED BY APRIL 15, 2012 (on-site badge printing may not be available, and admittance to Expo Hall requires badge identification)

Representative 1
First Name:
Last Name:
Business Title:

Representative 2
First Name:
Last Name:
Business Title:

Representative 3
First Name:
Last Name:
Business Title:

Representative 4
First Name:
Last Name:
Business Title:

(If you have more than 4 representatives, you may also email all badge requests (to include First Name, Last Name and Business Title for each individual) to Jeff Warren via jeff@iahcsmm.org. Otherwise, you may complete this form multiple times.