Georgia Association for Home Health Agencies, Inc.

2017 Annual Meeting

The Westin Jekyll Island, Jekyll Island, GA

September 18 – 20, 2017 (Exhibits Tuesday, September 19 ONLY)

EXHIBITOR REGISTRATION FORM

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Exhibit fee: GAHHA Member$400.00 (1 attendee, $25 each additional attendee)

Non-member$600.00 (1 attendee, $50 each additional attendee)

PLEASE PRINT OR TYPE THE FOLLOWING INFORMATION:

Company Name:______

Contact Person:______

Address:______

Telephone Number:______Email address______

Product/Service Company Provides: ______

______

______

Exhibitor Names/Title for Name Badges:

1.______2. ______

3.______4.______

Submit completed form with payment by August 17, 2017 (unable to accept credit cards). – Make checks payable and mail to:

Georgia Association for Home Health Agencies, Inc.

2146 Roswell Road, Suite 108-PMB 1107

Marietta, GA 30062

770/565-4531 ● 770/565/1739 FAX ● ●

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DOOR PRIZE/FUNCTION SPONSOR

If you would like to participate in our door prize drawings or sponsor a function, please complete the information below and submit with your registration.

_____Yes, I would like to donate the following door prize:

______and/or______

Cash Amount Other (description of prize)

______

Company NameAuthorized Signature

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Yes, I agree to sponsor the following function:

_____$400 Break ____$600 Continental Breakfast _____$1000 Lunch

______

Company NameAuthorized Signature

Georgia Association for Home Health Agencies, Inc.

2016 Annual Meeting

The Westin Jekyll Island, Jekyll Island, GA

September 18 – 20, 2017 (Exhibits Tuesday, September 19 ONLY)

EXHIBITOR INFORMATION

BOOTH INFORMATION:

Booth Size:1 – 6’ table, draped and skirted, and one chair

Does not include: security, additional tables, labor (i.e., electricians, carpenters, decorators), storage and drayage, exhibit decoration, pipe and drape. See attached Westin shipping and electrical information).

EXHIBITOR AGREEMENT

1. ASSIGNMENT OF SPACE: Exhibit tables will be assigned on a first come basis. All displays must be set up by 7:30 am on Tuesday, September 19, 2017, and can only be dismantled after the official closing of the exhibits at 1:30 pm on Tuesday, September 19, 2017. Exhibits may not be larger than the 6’ table allotted to each exhibitor.

2. CANCELLATION POLICY: Notification of cancellation must be received by GAHHA in writing on or before August 19, 2017 to receive a refund minus a 30% administrative fee. No cancellation refunds will be made after that date, and all outstanding balances will be due in full.

3. PROTECTION OF EXHIBIT SPACE: Nothing shall be posted, tacked, nailed, screwed, or otherwise attached to columns, walls, floors, or other parts of the hotel exhibit area without permission of GAHHA and a representative of the hotel. Packing, unpacking, and assembly of exhibits shall be done in designated areas and conform to instructions from GAHHA or a hotel representative.

4. DEFAULT OCCUPANCY: An exhibitor who fails to occupy contracted space is not relieved of the obligation to pay for such space at the full rental price, and GAHHA shall have the right to use that space.

5. LIABILITY: The exhibitor will make no claim of any kind against GAHHA or the Westin Jekyll Island for any loss, damage or destruction of goods, nor for any injury that may occur while participating in the meeting, nor for any damages of any nature or character whatsoever.

6. SECURITY: The hotel does not provide security in the event/function/exhibitor space and all personal property left in the event or function space is at the sole risk of the owner. Exhibitors are responsible for safekeeping of their personal/company property.

Georgia Association for Home Health Agencies, Inc.

2146 Roswell Road

Suite 108 – PMB 1109

Marietta, GA 30062

770/565-4531 * 770/565-1739 FAX