2010 IPP Seminar

Michigan Water Environment Association

PO Box 397

Bath, MI 48808

Phone # 517-641-7377 / Fax # 517-641-7388

I hereby contract with the Michigan Water Environment Association (MWEA) to participate in the2010 IPP Seminar to be held on September 22, 2010 at the Eagle Eye Banquet Facility, East Lansing, Michigan. I agree to pay the exhibit fee of $200.00 and I agree to all of the terms of the Liability and Responsibility Clause, as stipulated. The fee paid includes the seminar and lunches for one person. Additional representativesmust pay an additional fee of $30.00 each.

In signing the Exhibit Contract, the exhibitor agrees to assume the entire responsibility and liability for loses, damages and claims arising out of injury or damage to exhibitor’s displays, equipment and other property brought upon the premises of the designated Facility, and shall indemnify and hold harmless the MWEA and the designated Banquet Facility and the agents, servants and employees of each Banquet Facility for any and all such losses, damages and claims.

The exhibitor also agrees that the MWEA and the Banquet Facility will not be responsible for any injury, loss or damage that may occur to the exhibitor, the exhibitor’s employees or property or to any other person prior, during or subsequent to the period covered by the Exhibit Contract provided said injury, loss or damage is not caused by the willful negligence or wrongful act of an employee of the Banquet Facility and agrees to expressly release the MWEA and the Banquet Facility against any and all claims for such injury, loss or damage.

It is mutually agreed that it is the duty and responsibility of each exhibitor to install their exhibit before the opening of the exhibit and to dismantle it immediately after the close of the exhibit. All exhibits can be set up starting at 7:00 a.m. on DATE. Exhibit booths includes: (1) 8’ covered and skirted table, (2) chairs, (1) wastepaper basket, and 110-volt electrical service. This seminar will start at 8:00 a.m. and end at approximately 4:00 p.m.

This contract allows ONEseminar registration (including lunch). Additional representatives of the vendor who wish to attend,will be charged $30.00 each.

Our check number ______in the amount of $ is enclosed together with this signed contract.

Or Fax this form, with Credit Card information to the MWEA Office at Fax # 517-641-7388.

Card Type ___Visa ___MasterCard ___Am. ExpressCard #:

Expiration Date: ______Total: ______Signature:

Name on Credit Card and Billing Address:

Return signed contract and check to: MWEA, PO Box 397,Bath, MI48808.

Check must accompany contract to hold space.

We agree to the terms and conditions specified above:

Authorized by: ______

(Print Name and Title)

Name(s) of the individual attending to work the booth (for name badges )

______

______

(Company Name)

______

(Mailing Address)

______

(City, State and Zip)(Phone)

______

(Email address) confirmations will be sent via email only

Signed by: ______Date: ______

 Check this box for a vegetarian lunch. Quantity ____