Renaissance Harborplace Hotel

202 Pratt Street

Baltimore, MD, USA 21202

Training: 10-11 and 14 October

Conference: 12-13 October

EXHIBITOR FORm

Cost: Per booth space, cost is $3,000 for Non-CDISC members, $2400 CDISC Gold Members (formerly Corporate Member and Associate Member) and $1,800 CDISC Platinum Members (previously Benefactor, Corporate Sponsor, Government, Academic or Non-Profit). This includes two full conference registrations, a 2.5’ x 6’ table, electricity, and two chairs. Additional booth attendance costs $250 per person for the two-day conference and evening reception.

Additional booth spaces are available at 1/2 the cost of the first booth space and must be next to the first booth space.

Exhibit time: 12-13 October 07:30 – 17:30

Booth set up time: 13:00-20:00 on 11 October Break down time: 15:00-19:00 on 13 October

Exhibitor Information

Products or services to be displayed in the booth:

Please make two selections for a booth number (based on drawing included below): ______

______

Company

Mailing Address

City State / Province Zip / Postal Code Country

Phone Fax Email Address

Exhibit Staff Name and Email: ______

Exhibit Staff Name and Email: ______

Exhibit Staff Name and Email: ______

Fax this completed form (please type or print clearly) to CDISC at 866-520-3901(outside the US: +1 512-218-9200). You will receive an electronic invoice within five business days. Or, you may email to

Cancellation Policy - Cancellations received by 30 September 2011 will result in a full refund. No credits or refunds will be accepted after that date.

CDISC reserves the right to deny access to any individual or organization it deems to be inconsistent with the goals of the organization and its members.

The Exhibitor agrees to indemnify and hold harmless CDISC, its employees and members from any and all liability for losses, damages, and claims arising out of injury or damage to Exhibitor’s displays, equipment and other property brought on the premises of the hotel by Exhibitor and for losses, damages and claims caused by Exhibitor to the hotel. Exhibitor further agrees to indemnify and hold harmless CDISC, its employees and members from any and all liability to any person or persons for or by reason of any act or omission of said Exhibitor or any of its employees, agents or servants. Exhibitor, by signing the Application, expressly releases the foregoing named association and individuals from any and all liability for losses, claims, damages and injury.

Additional services such as phone, Internet connection, etc. will be available through the hotel and will be charged to the exhibitor.

List of AV costs:


Exhibit area diagram: