AUGUST 10 13, 2016 HILTON CHICAGO CHICAGO, ILLINOIS. exhibitor & prospectus

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1 6 T H A N N U A L A M P U TAT I O N P R E V E N T I O N S Y M P O S I U M AUGUST 10 13, HILTON CHICAGO CHICAGO, ILLINOIS exhibitor & Sponsorship prospectus

2 AUGUST 10-13, AMP PROSPECTUS The Amputation Prevention Symposium (AMP) is the CLI meeting of the year! This 4-day event will revolutionize the way physicians approach critical limb ischemia and related problems that otherwise could result in limb loss. AMP draws over 800 specialists, including vascular surgeons, general surgeons, cardiologists, interventional cardiologists, general medicine/ primary care physicians, interventional radiologists, podiatrists, wound care specialists, nurses, vascular technologists, and cardiac catheterization laboratory team members. We offer numerous opportunities for exhibitors and sponsors to market and showcase their products and services to key decision makers in the CLI field, with premium and high traffic advertising locations. Meals and breaks designed to bring attendees into the exhibit hall Wednesday evening reception in the exhibit hall with complimentary food and beverages An opportunity for attendees to win an ipad by interacting with exhibitors We encourage you to team up with us at AMP for this great networking opportunity! TABLE OF CONTENTS Demographics... 3 Exhibit Dates and Times... 4 Exhibitors and Supporters... 6 AMP Support Levels... 7 Entrance Banners... 8 Advertising Banners... 9 Wall Panel Graphics AMP Welcome Banner Escalator Glass Cling Package Elevator Door Clings Cyber Cafe Additional Sponsorship Opportunities Exhibitor Space Application Affiliate Meeting Request Form.. 18 Contact Information

3 AUGUST 10-13, 2015 DEMOGRAPHICS TOTAL ATTENDANCE: 778 TOP SPECIALTIES: Interventional Cardiology 28% Vascular Surgery 17% Cardiology 13% Wound Care 12% Interventional Radiology 11% Podiatry 10% Nursing 5% General Surgery 2% NP/PA 2% TOP TITLES: MD/DO RN RVT DPM RT NP PA US ATTENDEES: 33 STATES Top States MI, IL, MN, IN, FL, CA, OH, PA, TX, GA, NC, WI, NY, UT, LA, TN, AZ, MO, NJ, IA, OK, DE, AR, CO, MA, MS, WA, AL, CT, MD, DC, ND, RI & SC INTERNATIONAL AUDIENCE: 31 ATTENDEES Countries Australia, Austria, Belgium, Canada, Chile, Ecuador, Germany, Ireland, Israel, Italy, Japan, Jordan, Mexico, Puerto Rico, Saudi Arabia, Singapore, Spain, Switzerland and Turkey ATTENDEES YEARS IN PRACTICE: Under 5 years 31% (heavily promote nearly 50% were 10 years or less in their practice) 6 10 years 18% years 26% years 20% Over 30 years 5% CARE SETTING: Hospital 40% Other 22% Outpatient 12% Office-Based 11% Group Practice 9% Private Practice 6% This show is always at the top of our list because of the engagement that you get here that simply don t get at other events. AMP encourages interaction between clinicians and exhibitors, so rather than just having exhibitors as an accessory to the event, we are intregrated and involved throughout the program. Josh Hagerman Director of Marketing, Peripheral Terumo Interventional Systems 3

4 AUGUST 10-13, EXHIBIT DATES AND TIMES Exhibitor Move-In Tuesday, August 9 Wednesday, August 10 Exhibit Hours 12:00 p.m. 6:00 p.m. 8:00 a.m. 3:00 p.m. Wednesday, August 10 (Reception) 5:30 p.m. 7:00 p.m. Thursday, August 11 Friday, August 12 Exhibitor Move-Out Friday, August 12 10:00 a.m. 3:30 p.m. 10:00 a.m. 1:00 p.m. 3:30 p.m. 8:30 p.m. EXHIBITOR BENEFITS Booth size options of 10 x 30, 10 x 20, or 10 x 10 8 high drape and 7 x 44 one-line booth sign; ballroom is carpeted Badges with access to all scientific sessions and the exhibit hall (badge quantity based on booth size) Conference bag inserts (not to exceed 8 1/2 by 11 ) given to all attendees upon registration check-in; insert deadline is August 1st (instruction form attached) Breakfast, lunch and refreshment breaks daily, all served in the exhibit hall Hands-On Ultrasound Workshop on Thursday & Friday, located inside the Exhibit Hall. Note: Furniture rental and electricity are additional. These items must be ordered through FREEMAN BADGE POLICY All company representatives must be registered for the conference. You will receive a link to register company representatives after the Exhibitor Space Application is received. A badge is required at all times during AMP for admission into the exhibit and education ballrooms. Registrations/badges beyond your allottment may be purchased online for $800 each. PAYMENTS Exhibit registration and final payment must be received by June 10, or the exhibit space will be reassigned and the exhibitor will forfeit all deposits paid to date. Checks must be made payable to HMP Communications and mailed, along with the Exhibitor Space Application, to: AMP Administrative Headquarters, 70 E. Swedesford Road, Suite 100, Malvern, PA CANCELLATION POLICY Requests for cancellations of reserved exhibit space must be in writing to tfields@hmpcommunications.com. Refunds, less a 50% administrative fee, will be granted for requests received on or before June 10,. After this date, refunds for reserved space will not be granted. 4

5 AUGUST 10-13, CONFERENCE HOTEL Chicago Hilton 720 S. Michigan Avenue Chicago, IL SPECIAL CONFERENCE RATE: $229/night single or double occupancy Deadline to reserve room at discounted rate: June 24, SHIPPING INFORMATION All exhibitors must ship their shipments to FREEMAN. Neither the hotel nor the conference will be responsible for ANY items you inadvertently ship to the hotel. Shipping information will be available closer to the show date. INDUSTRY MEETING SPACE Exhibitors may conduct social functions or meetings during the AMP symposium as long as it does not conflict with conference education or symposia events. Meeting space is available at the conference hotel on an approved and first come, first served basis. To request space, complete and submit the meeting room request form that is included in this prospectus. Only approved AMP exhibitors will be allowed to utilize the meeting space in the conference hotel. Exhibitors will be charged an additional $750/day for use of a meeting room during the conference. Approval notification and room assignments/layouts will be sent shortly after the request is made. 5

6 AUGUST 10-13, 2015 EXHIBITORS/SUPPORTERS Acelity (KCI) Alliqua Biomedical Amputation Prevention Centers of America AngioAdvancements Avinger, Inc. Bard Peripheral Vascular Boston Scientific Corporation Cardinal Health Cardiovascular Systems, Inc. Control Medical Technology Cook Medical Cordis Corporation, part of the Johnson & Johnson family of Companies Fresenius Vascular Care Healogics HMP Communications Maquet Medical Systems, USA Medline Industries, Inc. Medstreaming Medtronic Covidien Merck Metro Heart & Vascular New Cardiovascular Horizons Foundation NOVADAQ Organogenesis, Inc. Penumbra, Inc. ReFlow Medical Roxwood Medical Smith & Nephew Spectra, Inc. Spectranetics Terumo Interventional Systems The American College of Clinical Wound Specialists The Save A Leg, Save A Life Foundation TriReme Medical, LLC Vasamed, Inc. Vascular Solutions Volcano Corporation This is our fifth year exhibiting at AMP we have been with AMP since its inception and have witnessed the impressive growth of the event. The educational program is phenomenal, and the audience is focused on and dedicated to CLI amputation prevention. This is a great platform to share information and spend time with customers who share the same passion we do. Brian Reinkensmeyer Peripheral Account Executive Bard Peripheral Vascular Tempe, Arizona 6

7 AUGUST 10-13, AMP SUPPORT LEVELS Alpha $100,000 Company Logo on Website & Meeting Syllabus 20 Conference Registrations (company personnel only) 10 x 30 Booth 20-Second Promotional Slide During Breaks Bag Insert, not to exceed 8 1/2 by 11 Door Drop GOBO (share rotation with other Alpha & Gold sponsors) CTO/Complex Lesions Summit Table Top Product Factoid w/link to Corporate Website Gold $75,000 Company Logo on Website & Meeting Syllabus 15 Conference Registrations (company personnel only) 10 x 20 Booth Bag Insert, not to exceed 8 1/2 by 11 Door Drop GOBO (share rotation with other Alpha & Gold sponsors) CTO/Complex Lesions Summit Table Top Product Factoid w/link to Corporate Website Silver $50,000 Company Logo on Meeting Syllabus 10 Conference Registrations (company personnel only) 10 x 20 Booth Bag Insert, not to exceed 8 1/2 by 11 Product Factoid w/link to Corporate Website Bronze $25,000 Company Logo on Meeting Syllabus 5 Conference Registrations (company personnel only) 10 x 10 Booth Bag Insert, not to exceed 8 1/2 by 11 Product Factoid w/link to Corporate Website Exhibitor $7,000 2 Company Registrations (Company Personnel Only) 10 x 10 Booth ALL LEVELS RECEIVE RECOGNITION ON NAME BADGES AND CONFERENCE SIGNAGE CHECKS PAYABLE TO: HMP Communications: 70 E. Swedesford Road, Suite 100, Malvern, PA Phone: Fax: Jeffrey Martin, Vice President/Group Publisher Phone: , ext. 4238, jmartin@hmpcommunications.com Carson McGarrity, National Account Manager Phone: , cmcgarrity@hmpcommunications.com Jeff Benson, National Account Manager Phone: , ext. 4270, jbenson@hmpcommunications.com Lam Wang, Sales Associate Phone: , ext. 4205, lwang@hmpcommunications.com 7

8 AUGUST 10-13, ENTRANCE BANNER The welcome banner is a premium placement guaranteed to reach a high number of attendees as they enter the hotel and make their way to registration. There is only one welcome banner available. Reserve this exclusive space today! Sponsors must provide advertisements in electronic format for approval. Confirmations will include specific deadline dates. Price: $15,000 (Includes production, shipping, and installation charges) For further information, please see page 19 to contact your sales representative. 8

9 AUGUST 10-13, ADVERTISING BANNERS Double-sided ad banners will be available for purchase in the Clock Tower Atrium at Hilton Chicago Towers. These ad banners may be corporate or product specific. There are multiple locations available, and all offer excellent promotional opportunities and build brand awareness. Benefits: Sponsor receives corporate and/or product recognition on the ad banners offer On-site visibility for your company Add your booth number to increase your booth traffic Sponsors must provide advertisements in electronic format for approval. Confirmations will include specific deadline dates. Price: $10,000 per location (Includes production, shipping, and installation charges) For further information, please see page 19 to contact your sales representative. 9

10 AUGUST 10-13, WALL PANEL GRAPHICS (2) There are two wall panel locations outside the workshop rooms that will see heavy traffic during education hours when attendees enter and exit the Continental Ballroom. Sponsors must provide advertisements in electronic format for approval. Confirmations will include specific deadline dates. Price: $10,000 per panel (Includes production, shipping, and installation charges) For further information, please see page 19 to contact your sales representative. 10

11 AUGUST 10-13, AMP WELCOME BANNER Your company could have the opportunity to sponsor a portion of the AMP Welcome Banner. You company banner will be prominently displayed below the AMP Welcome Banner and will hang distinctly on the grand staircase as attendees make their way from the hotel lobby to the general session and registration area. Sponsors must provide advertisements in electronic format for approval. Confirmations will include specific deadline dates. Price: $15,000 (Includes production, shipping, and installation charges) For further information, please see page 19 to contact your sales representative. 11

12 AUGUST 10-13, ESCALATOR GLASS CLING PACKAGE There are two escalators that lead the attendees to and from the exhibit hall and the workshop rooms. Your company s ad will be prominently displayed in an area that sees heavy traffic throughout the day. The cling package includes 12 components, 6 cling segments on each side. One panel will be double-sided. Sponsors must provide advertisements in electronic format for approval. Confirmations will include specific deadline dates. Price: $18,000 per package (Includes production, shipping, and installation charges) For further information, please see page 19 to contact your sales representative. 12

13 AUGUST 10-13, ELEVATOR DOOR CLINGS Elevator door clings catch attendees attention on the way to and from their rooms. This is an excellent advertising opportunity to draw traffic to your exhibit booth. The package includes four elevators on the floor of your choice: 1st or 2nd. The 1st floor elevators are located in the main lobby. The 2nd floor elevators access the exhibit hall and registration. Sponsors must provide advertisements in electronic format for approval. Confirmations will include specific deadline dates. Price: $18,000 (Includes production, shipping, and installation charges) For further information, please see page 19 to contact your sales representative. 13

14 AUGUST 10-13, THE CYBER CAFÉ & CHARGING STATION Help attendees stay connected and land great visibility for your organization by sponsoring the Cyber Café located in the registration area. With multiple advertising panels available on the structure, you re sure to make an impact. Sponsors must provide advertisements in electronic format for approval. Confirmations will include specific deadline dates. Price: $30,000 (Includes production, shipping, and installation charges) For further information, please see page 19 to contact your sales representative. WI-FI Internet access is vital for professional attendees. The exclusive Wi-Fi sponsorship provides Internet access during the AMP Meeting. Now everyone attending the conference can stay connected! Enjoy high-profile brand exposure while giving attendees the necessary service of Wi-Fi access. Benefits: Corporate logo prominently featured on the splash page Sponsor will be provided statistical usage results Corporate name and logo prominently displayed on recognition signage throughout the meeting Price: $65,000 Contributor must provide advertisements in electronic format for approval. Confirmations will include specifications and deadline dates. For further information, please see page 19 to contact your sales representative. 14

15 AUGUST 10-13, ADDITIONAL Cyber Café $20,000 Conference Attendee Wifi $65, Second Promotional Slide $25,000 Mobile App $25,000 Column Wraps $18,000 Elevator Clings (4 elevator doors) $18,000 Additional Elevator Doors $3,500 Hotel Keycards $15,000 Coffee Breaks $10,000 Coffee Sleeves $9,500 Trail Mix Breaks $8,000 Notebook Ad $6,000 Bag Inserts $6,000 Light Box $5,000 Water Bottles $5,000 e-blast $5,000 Directional Feet $15,000 Meeting Room $750/day Charging Station $10,000 Conference Bag $12,000 GOBO $10,000 Expresso Machine $10,000 Water Cooler Signage $9,000 Lanyards $7,500 Sidewalk Revolving Entrance Door (1) w/ flanking interior & exterior doors $20,000 Both Sidewalk Revolving Entrance Doors w/ flanking interiors & exterior doors $35,000 Additional Flanking Entrance Doors $2,000 Sidewalk Column Wrap (1) $15,000 Both Sidewalk Column Wraps (2) $25,000 Sidewalk Cling $25,000 Product Pavilion $15,000 1-Meter Boards in Hallway $20,000 Branding (Light) Boxes $15,000 Abstract Book $17,500 Aisle Signs in Exhibit Hall $20,000 Table Stickers $15,000 Escalator Graphics $18,000 Window Clings $10,000 Wall Clings $10,000 Attendee Room Mirror Clings $15,000 Registration Counter Signage $15,000 Clock Tower Atrium Banner $10,000 Door Drops $5,000 CTO & Complex Lesion Workshop Table Top Exhibit $5,000 Schedule-at-a-Glance w/ Onsite Sign Blow-Ups $20,

16 AUGUST 10-13, EXHIBITOR SPACE APPLICATION Subsidiaries of one company may have more than one name. Unaffiliated companies may not have a combined listing. EXHIBITING COMPANY INFORMATION: (Please complete as it should appear in the Exhibitor Guide) Company Name: Address: City: State: Zip/Postal Code: Phone: Fax: Website: Product to be Displayed: We prefer NOT to be next to or across the aisle from: EXHIBIT CONTACT: (Person to whom all exhibit-related information should be sent. Communication will be via .) Name: Title: Phone: EXHIBIT BOOTH: Exhibitor $7, x 10 Exhibit Space 2 Conference Registrations Exhibitor $14, x 20 Exhibit Space 4 Conference Registrations Total Cost: Assigned Booth Number: (office use only) PAYMENT INFORMATION: We agree to pay the total booth cost as rental for the space allotted to us. We understand that a 50% deposit must accompany the application with the balance due June 10,. After this date, payment in full must accompany all space applications. Check in the amount of $ payable to HMP Communications Charge in the amount of $ Visa M a s t e r C a r d A merican Express D i s c o v e r Credit Card Number Exp Date / Security Code Cardholder Name CANCELLATIONS: Requests for cancellations of reserved exhibit space must be in writing to tfields@hmpcommunications.com. Refunds less a 50% administrative fee will be granted for requests received on or before June 10, 201. After this date, refunds for reserved space will not be granted. Authorized Signature: Date: Please note that by submitting this form, you understand that your use of this space is subject to the conditions and terms provided, which upon acceptance by HMP Communications will become a binding contract between you, as the exhibitor, and HMP Communications. Please send completed application to Tara Fields at tfields@hmpcommunications.com or fax to

17 AUGUST 10-13, Terms and Conditions This form indicates the policies and regulations set forth as part of the contract for sponsorship with HMP Communications and its organizing committee, hereinafter referred to as HMP, for the Amputation Prevention Symposium conference being held August 10-13, in Chicago, Illinois. HMP reserves the sole right to render all interpretations, to amend and enforce these policies and regulations, and to establish any and all further regulations not specifically covered below to assure the general success and well-being of the conference. HMP reserves the right to decline, prohibit, and/or deny any sponsorship that in its sole judgment is contrary to the character, objectives, and best interests of the conference or suitable for its attendee audience. 1. GENERAL EXHIBIT INFORMATION: All exhibits must be set up 3 hours prior to the opening of the first day of show without exception. The exhibits officially close at 1:00 pm on Friday, August 12,. No exhibitors may dismantle exhibits until the official closing time. HMP Communications reserves the right to assign booth space. All booths must reflect a uniform image. Each exhibitor will be permitted to display the following items only: literature, logos, company signs, and samples. 2. EXHIBITOR SERVICES: The following services will be provided for exhibitors at no additional charge: 7" x 44" identification sign, eight-foot-high back wall, and three-foot side drape. The official decorating and drayage company of the Amputation Prevention Symposium will provide and distribute an exhibitor kit containing literature and rates for all services and equipment. All furnishings and special requirements should be ordered through that decorating company. 3. CEILING HEIGHT: The ceiling height in the exhibit hall is 23 feet. No hanging sign or booth display may exceed 8 feet in height, with the exception of island booths and perimeter booths, which cannot exceed 12 feet in height. 4. EXHIBIT COORDINATOR: The official decorating company will direct and manage all of the following services and will have a service desk in operation at the time of installation and dismantle: Exhibitor service manual distribution furnishings labor rent or exhibit displays signage material handling services transportation services. 5. EXHIBITOR S INFORMATION KIT: A complete Exhibitor s Information Kit containing all the necessary order forms for drayage, electrical service, furniture rental, carpeting, cleaning, etc., will be sent via to each exhibitor after confirmation of space assignments. The official decorating company of the Amputation Prevention Symposium will also provide instructions within the kit so forms may be processed online. 6. PHOTOGRAPHY IN THE EXHIBIT HALL: The use of cameras (including but not limited to cellular phones, film, digital, video taking or image or sound capturing) or audio taping equipment is prohibited anywhere during the Conference without prior permission from HMP Communications and/or the presenting author. 7. SUBLETTING OF SPACE: The exhibitor agrees that the display will be confined to the area of space reserved and that subletting or showing products other than those manufactured or represented by the exhibitor is strictly prohibited. 8. ARRANGEMENT OF EXHIBITS: The exhibitor agrees to manage his/her exhibits so as not to obstruct or interfere in any way with the general view, the view of the exhibits of other exhibitors, or the free passage of spectators. The decision of HMP Communications as to what constitutes such obstruction or interferences will be final. 9. CARE OF SPACE: The exhibitor agrees not to deface, injure, or mar the exhibition hall of the Chicago Hilton, any of the furniture or fixtures contained therein, and/or any of the property of whatever nature placed therein. The exhibitor will be liable to HMP Communications and/or Chciago Hilton for any damage resulting to such exhibition hall, furniture and fixtures contained therein, and/or such property placed therein by HMP Communications, which will occur by reason of the commission or omissions of any exhibitor and/or its agents, servants, or employees. The exhibitor will defend and hold harmless HMP from all claims and suits against HMP Communications arising from the aforesaid commissions or omissions of the exhibitor, their agents, servants, or employees. All material used by exhibitors must conform to the requirements of the Fire Department of Chicago, Illinois. X-ray equipment is to be disconnected. 10. INSURANCE: HMP Communications assumes no responsibility for the safety of the personnel and property of exhibitors or the personal property of their officers, agents, servants, or employees. Any exhibitor wishing to insure his/her personnel or goods against injury, theft, damage by fire, accident, or other cause must do so at his/her own expense. 12. LIABILITY: HMP Communications will not be liable for any damages in the event that performance of this contract is rendered impossible for any of the following causes: destruction of the exhibit hall or any substantial portion thereof by fire, earthquake, the elements, a public enemy, strikes or other public disorder, impossibility of performance created by lay or any public authority, and/or for any cause beyond its control or the control of the Chicago Hilton. 13. CHILDREN: Under no circumstances will children under the age of 18 be allowed in the exhibit hall during installation or dismantle. For reasons of insurance children are not permitted on the show floor. Because of limited seating capacity and the highly technical nature of the programs, children under the age of 18 are not invited to attend presentations. 14. SHIPPING INSTRUCTIONS: Please ship early and prepay all transportation charges. Collect shipments will not be accepted and all shipments should be labeled with return address. Additional shipping instructions and labels will be provided in the decorating kit. All shipments should be packed securely and fully prepaid. Bills of lading should be forwarded to the drayage agent when shipment is made. Each exhibitor agrees to ship his/her materials at the company s own risk and expense. 15. CONDUCT OF EXHIBITS: All booths must be uniform. Interviews, demonstrations, and distribution of literature or samples must be made within the booth area assigned to the exhibitor. Canvassing or distributing of promotional materials outside the exhibitor s own booth will not be permitted. Any and all educational activities conducted at the booth must be delivered via headsets no exceptions. HMP Communications reserves the right to monitor and reduce the sound of any system so that it does not interfere with the show and/or other exhibitors. Exhibitors may not serve or dispense food or beverages of any type from their booths or in the exhibit area without the consent of HMP Communications. No part of the display including products is permitted outside the exhibit space. Products and furnishings should be arranged with the safety of the exhibitors and attendees in mind. Each exhibitor must make provisions for the safeguarding of his goods, materials, equipment, and display at all times. The exhibit hall will be secure during closed hours, but neither HMP Communications nor the Chicago Hilton will be held liable for personal injuries or for damage to property owned or controlled by the exhibitor in the rented exhibition space. The exhibitor will indemnify and hold HMP Communications and the Chicago Hilton harmless against all such claims. All of the exhibitor s property should be deemed to remain under the exhibitor s custody and control in storage, in transit to or from, or within the confines of HMP Communications or its service contractor. Each exhibiting company should acknowledge that it is responsible for obtaining insurance coverage in such amounts as it deems appropriate to comply with its obligations hereunder and for its own protection. Each exhibiting company that wishes to insure its exhibit and display materials against loss of any kind must do so at its own expense. 16. ELECTRICAL POWER AND UTILITIES: Rates and data on electrical power, telephone connections, etc., will be provided in the Exhibitor Service Manual from the decorator. 17. TELECOMMUNICATION SERVICES: Rates and data will be provided in the Exhibitor Service Manual from the decorator. 18. BOOTH RELOCATION: HMP Communications reserves the right to rearrange the floor plan at any time. HMP Communications reserves the right to relocate exhibitors should it become necessary for causes beyond the control of HMP Communications, or advisable in the best judgment of HMP Communications. After assignment of space, exhibitor agrees to accept relocation to other comparable space if HMP Communications deems such a relocation to be necessary or appropriate. 19. CANCELLATION BY EXHIBITOR: Requests for cancellations of reserved exhibit space must be in writing to tfields@hmpcommunications.com. Refunds less a 50% administrative fee will be granted for requests received on or before June 10,. After this date, refunds for reserved space will not be granted. 20. REFUND POLICY: Please reference the cancellation terms and penalties under CANCELLATION BY EXHIBITOR above. There will be no refunds for cancellations received after June 10,. 21. BOOTH REDUCTION: Notification of intent to reduce your booth size must be provided in writing tfields@hmpcommunications.com. Booth size reductions before June 10, will result in 25% of the decreased amount. No booth reductions will be accepted after June 10,. 2/10/ 11. SECURITY: HMP Communications will provide around-the-clock security/staff to control access to the exhibit hall beginning Wednesday, August 10,, at 6:00 AM and continuing through Friday, August 12 at 6:00 PM. HMP Communications and the Chicago Hilton are not responsible for loss of or damage to exhibitor property. Exhibitors will be required to display proper credentials to gain access to the floor. 17

18 AUGUST 10-13, AFFILIATE MEETING REQUEST FORM Company: Contact Person: Address: City: State: Zip/Postal Code: Phone: Fax: # Attending: Day/Date of Meeting: Start Time: a.m./p.m. End Time: a.m./p.m. Meeting Name: TYPE OF FUNCTION Breakfast Lunch Dinner Reception Meeting Only ROOM SET BANQUET CLASSROOM CONFERENCE HEAD TABLE (# ) HOLLOW SQUARE PODIUM RECEPTION THEATER U-SHAPED OTHER AUDIOVISUAL NONE PODIUM W/ MIC LAVALIER MIC LCD PROJECTOR SCREEN LAPTOP/PC LASER POINTER EASEL(S) (# ) FLIP CHART(S) W/MARKERS (# ) POLYCOM CONFERENCE PHONE INTERNET CONNECTION OTHER MEETING SPACE FEE: $750/DAY Return completed form to: Aubrey Feeley afeeley@hmpcommunications.com Fax:

19 AUGUST 10-13, CONTACT INFORMATION Book your sponsorship opportunity today! Jeff Martin VP, Group Publisher, Cardiovascular Division ext Carson McGarrity Associate Publisher Jeff Benson National Sales Manager ext Lam Wang Sales Associate ext

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