The North American Dental Sleep Medicine Symposium 2019 Exhibitor Prospectus | Page 11

SPONSORSHIP AGREEMENT T HE 2019 N ORTH A MERICAN D ENTAL S LEEP M EDICINE S YMPOSIUM February 15th-16th, 2019 | The Hilton Clearwater Beach Resort 400 Mandalay Avenue, Clearwater, FLorida 33767 Those participating in this event may secure their placement at the event by filling out the following form. Pelase fill out your information and payment information. The fee structure for this event is listed on the prior page of this prospectus. Please select your sponsorship package below. Included in the registration fee are: 8x10 vendor space, a 6ft. table, a tabledrape, 2 chairs, a wastebasket, and wi-fi access. For those staying at the venue, we will supply our room block code upon reciept of this form. COMPLETE THIS FORM AND SUBMIT WITH PAYMENT This form may be faxed to: 866.935.5907 Company Name Date Representative Name Address City/State/Zip Phone Fax Email Address Representative’s Signature EARLY BIRD SPECIAL! TAKE 15% OFF ALL AGREEMENT PACKAGES RECIEVED BY FEBRUARY 28TH, 2018! Please indicate your sponsorship level: Diamond Sponsorship Package Platinum Sponsorship Package 1/2:___ Gold Sponsorship Package 1/2:___ Silver Sponsorship Package 1/2:___ Bronze Sponsorship Package Breakout Add On *Additional fees are charged by a third party vendor for electrical services. Rates are discounted if booked by January 10th. Payment Information Name as it Appears on Your Credit Card Card Number Expiration Date/CSC Amount to be Charged Cardholder’s Signature Checks should be made payable to Dental Sleep Solutions, LLC. If you are paying by credit card, please include your account information and signature. We accept all major credit cards, including VISA and MasterCard. The Exhibitor agrees to abide by the decisions of the event host Officers and Directors concerning all matters of policy and protocol. In matters of booth-sharing and limits on the number of people working in the booth, the Exibitor agrees to make advance arrangements and, again, to abide by the decisions of the event host. Each of the parties covenants and agrees to idemnify and hold the other and it’s respective subsidiaries, affiliates, officers, directors, shareholders and employees free and clear and harmless from any and all liability, judgements, claims, costs, expenses (including attorneys’ fees), and demands of any kinds, including damages for personal ingury or property damage or both, arising our of, or by reason of any act, omission, or negligence of the idemnifying party or its respective agents, employees, servants, or contractors, in any manner connected with the North American Dental Sleep Medicine Symposium at the Hilton Clearwater Beach Resport, Februaty 15-16, 2019, inclusive. The Exhibitor acknowledges the hotel and it’s owners, and the North American Dental Sleep Medicine Symposium do not maintain insurance coverage for the Exhibitor’s property brought onto the hotel premises and that it is the sole responsibility of Exhibitors to obtain business interruption and property damage insurance covering such losses. Dental Sleep Solutions, LLC 402 43rd St. W. Bradenton, FL 34209 T: 877.95.SNORE | F: 866.254.5907 www.ds3software.com | [email protected]