Exhibitor Personnel Badge Registration

STAFF LIST DUE: Friday, September 2 * FAX: 847-384-1435

BADGES EARNED:

  • As a part of your exhibit fees each company receives 3 complimentary badges per 100 sq. ft (10x10) occupied
  • Elite Partners receive 10 additional badges (no fee)
  • Premier Partners receive 5 additional badges (no fee)
  • Classic Partners receive 3 additional badges (no fee)
  • Standard Partners receive 1 additional badge (no fee)

WHAT’S INCLUDED:

  • Exhibit badges will gain your staff entrance to theExhibit Hall and General Scientific Sessions (includes Paper Presentations, Keynote Lectures and Symposia)
  • Complimentary boxed lunch Thursday and Friday

Additional Exhibit Personnel badges may be purchased for $100USD each through Friday, August 26. If an additional badge request is received after August 26, the additional badge fee increases to $125 USD. Requests received after September 2will not be processed until onsite and will be charged the onsite badge rate of $125 USD.

All requests to cancel a badge must be made in writing to or by fax to (847) 384-1435. Requests for refund for additional badges will be accepted through September 2. After September 2, no refunds will be issued for cancelled badges.

OTHER REGISTRATION OPTIONS: To attend precourses or breakout sessions exhibitors must register as an Allied Health Professional and pay the standard registration fee to participate. If you plan on inviting guests to your booth who are not registered attendees and will not be staffing the booth, you are required to purchase an Exhibit Hall Visitor Pass. To request a registration form and for pricing, please contact the ASSH registrar at .

Important Reminders

  • Exhibits must be staffed by qualified individuals who are employees or representatives of the Exhibiting Company.
  • Badges are NOT mailed in advance of the meeting. Badges will be available to pick up at the Exhibitor Registration Window onsite at the Washington State Convention Center.
  • Badges may be returned to the exhibit registration desk daily if there will be a change in personnel (indicate on form the day/time staff will be onsite to indicate an exchange will take place; no additional fee).
  • Admission to the exhibit hall is by official badge only which must be worn at all times.
  • Once the exhibit hall has closed for the evening there is NO in or out privileges.
  • Set-up crew should enter via the loading dock to pick up a security pass from Freeman.
  • Exhibit personnel are required to reserve hotel sleep rooms through the Society’s housing block (see Item 27, Rules & Regulations). The housing block will open in Juneand close in September. Learn more about

Register Booth Staff Online through the ASSH Exhibitor Service Center:

Exhibitor Personnel Registration Form

71th ASSH Annual Meeting

September 29 – October 1, 2016 ** Austin, TX ** FAX: 847-384-1435

STAFF LIST DUE: September 2, 2016

The Society is pleased to provide three complimentary exhibitor badges per 100 square feet (i.e. a 10’x10’ receives 3 badges; a 10’x20’ receives 6, etc). Badges will reflect individual name and company name. Please write names of all personnel expected to attend on lines below. Your exhibitor badge gives you access to the Exhibit Hall and the General Scientific Sessions only. Additional badges are $100.00 USD per person if ordered by August 26. Additional fee badge requests received after August 26 will be charged $125 USD each. To order additional badges for your organization please return this form to the ASSH along with your payment.

Company Name:
Booth #:

□I am the new Exhibits Contact please update your records

Full Name & Email of new contact (if applicable):______

Please PRINT clearly or attach a typed list. Include full names, designation (i.e. MD), and city/state if different from company address.

NAME / EMAIL (for confirmation)
1.)
2.)
3.)
4.)
5.)
6.)
7.)
8.)
9.)
10.)

Enclosed is total payment of $Date:

 Check Enclosed VISA MasterCard American Express Discover Card

Card Number Expiration DateSecurity Code

Print Name (as it appears on card) Signature

Fax back to (847) 384-1435 (ATTN: Exhibits Manager)

or

Register booth staff online through the ASSH Exhibitor Service Center: