· ICP EXHIBIT REGISTRATION FORM ·
12th Meeting International College of Prosthodontists
Submit your booth reservation prior to: July 30, 2007 Booth locations are based on contribution and date payment is deposited
Return to Exhibit Page Return to: Conference Home Page
Payment Options:
Check: Complete and submit form below and mail check payable in USA dollars. Check must include bank account number on bottom of draft and acknowledge payable in USA dollars Payable to: RES Seminars / ICP 2007 Meeting Mail to: ICP Administration, 4425 Cass St., Suite A, San Diego, CA. 92109 USA Contact Information: Tel: (1) 858 270-1814 Email: res@res-inc.com Fax: (1) 858 272-7687 Bank wire transfer: Wells Fargo Bank San Diego, California (Pacific Beach Branch) Swift Code: WFBIUS 6SSFO Routing Code: 121 000 248 Account Number: 0959 030867| Account Name: RES, Inc. / International College of Prosthodontists Memo: Exhibit contribution for ICP 2007 Meeting <Company Name> Credit Card: Download pdf file - Credit Card Registration Form complete and fax to ICP office: (1) 858 272-7687
Check: Complete and submit form below and mail check payable in USA dollars. Check must include bank account number on bottom of draft and acknowledge payable in USA dollars Payable to: RES Seminars / ICP 2007 Meeting Mail to: ICP Administration, 4425 Cass St., Suite A, San Diego, CA. 92109 USA Contact Information: Tel: (1) 858 270-1814 Email: res@res-inc.com Fax: (1) 858 272-7687
Bank wire transfer: Wells Fargo Bank San Diego, California (Pacific Beach Branch) Swift Code: WFBIUS 6SSFO Routing Code: 121 000 248 Account Number: 0959 030867| Account Name: RES, Inc. / International College of Prosthodontists Memo: Exhibit contribution for ICP 2007 Meeting <Company Name>
Credit Card: Download pdf file - Credit Card Registration Form complete and fax to ICP office: (1) 858 272-7687
Payment Method: Select one of the following Check Bank Wire Transfer Credit Card required
If payment is transferred via bank wire: Email our ICP office with transaction information to ensure your contribution has been applied to our ICP Japan meeting on behalf of your company. Thank you for your kind support and consideration.
My company is submitting a pledge for:
Classification (must select one of the following)
Conference Sponsor - $20,000 donation (Full page color advertisement - Booth credentials: 6 representatives)
Conference Patron - $10,000 donation (Full page b/w advertisement - Booth credentials: 4 representatives)
Gold Exhibitor - $5,000 donation (Half page b/w advertisement - Booth credentials: 2 representatives)
Conference Exhibitor - $1,500 donation (Booth credentials: 2 representatives)
Gold Subscription Sponsor - $750 donation (Full page b/w advertisement only- No booth)
Subscription Sponsor - $500 donation (Half page b/w advertisement only- No booth)
Include: First and Last Name of each representative for your conference credentials
Representative 1:
Representative #1 is also your on-site booth supervisor
Representative 3:
Representative 5:
Product/s to be displayed:
Exhibit Booth Responsibility All costs and logistics related to shipping, drayage, electrical and/or special requests are the responsibility of the participating exhibitor. Call conference hotel directly for information regarding shipping, drayage, electrical or special requests. Include name of conference (ICP Meeting) and conference dates (Sept. 5-8, 2007) Fax +81-(0)92-844-7743 Email iwase-tatsuro@hawkstown.jp
Room Reservations: Contact conference hotel- JAL Resort Sea Hawk Hotel Fukuoka. Ask for the ICP conference room rate.
Fax +81-(0)92-844-7743
Email iwase-tatsuro@hawkstown.jp
Liability It is agreed that all provisions of the "Rules and Regulations" governing this contract for space shall be a part of this contract. The conference hotel, The International College of Prosthodontists and R.E.S. Inc. (meeting planner) are not responsible for loss or damages to any samples, displays, properties or personal effects brought to the exhibit trade show. Exhibitors hold harmless the conference hotel, The International College of Prosthodontists and R.E.S. Inc. from claims of any nature arising from our occupancy of assigned space or from activities of our employees or representatives.
In the event that any damage to the conference site furniture, fixtures, building, or equipment caused by the installation, presence and/or removal of exhibits and exhibit materials the Exhibitor shall reimburse the conference hotel for the cost of such repairs or replacement as may be necessary.
Complete above form and press Submit.
Thank you for your generous support. We look forward to seeing you in Fukuoka, Japan... September, 2007
International College of Prosthodontists 4425 Cass St. – Suite A, San Diego, CA. 92109 USA Tel: 1 (858) 270-1814 • Fax: 1 (858) 272-7687 • E Mail Address: ICP@ICP-ORG.COM Web Site: http://www.icp-org.com