Application/Contract for Exhibit Space

2010 Korean American Missions Health Conference
Place:  Bethel Korean Church Irvine, California
Conference Dates:   March 26~ 27, 2010
Exhibit Dates: March 26~ 27, 2010
Optional Extended Exhibit Date : March 28, 2010

 

 

PLEASE PRINT OR TYPE
Exhibitor Information for Program Listing:

Organization Name:
Website:
Address line1:
Address line2:
City:
State:
Zip:
Phone:
Fax:

Contact Person

First Name:
Last Name:
Title:
Email:
Phone:

Address line1:

Address line2:
City:
State:
Zip:

Booth Representatives:

Conference registration for booth representatives: $ 35 per person  (Maximum two persons)

How many representatives will attend the conference 
1 person $35.00  2 persons $70.00

Representative 1

 
First Name:
Last Name:
Email:
Phone:
 

Representative 2

 
First Name:
Last Name:
Email:
Phone:
 

 

Booth Reservation Fee: $350 (All space will be reserved on a first-come, first-served basis)

Do you want to extend your registration until Sunday March 28, 2010?   Yes       No     

Advertising Space in conference program booklet :
None             1/4 Page @ $200            1/2 Page @ $300        Full Page @ $600

Description of your Organization for the Program Booklet

A brief description, in 50 words or less, of your organization, products, or services must be submitted for publication in the program.

Terms of Agreement



I agree to the terms of exhibitor agreement


Payment Detail

Payment Detail

Price

Booth Reservation Fee

$ 350  

Representative registration Fee

$

Advertising Space Fee

$

Total Payment Amount

$

 

 Pay by Credit Card  
 
*Credit Card Type:  Master Card     VISA   
Billing Address:
 
City
State
Zip
*First Name:
*Last Name on card:
*Card Number:
*CVV2 #:  
*Expiration Date: /(mm/yy)
 
 Pay by Check  
 
Check payable to: KAMHC
  P.O. BOX 4825, Irvine, CA 92616
 

   

Note: Please click the Submit button once only and wait for the authorization receipt to come up on the screen. If you click the submit button twice, or stop the process, you run the risk of having your credit card charged twice. Please be patient. If any problem occurs, please e-mail us immediately.

Direct all questions and correspondence regarding the exhibits to Yuna Huh, KAMHC P.O. BOX 4825, Irvine, CA 92616
E-mail: kamhc2010@gmail.com
Tel:714-444-3032