APPLICANT PLEASE NOTE:
When your booth assignment is made, you will receive a copy of this form as your confirmation. NAOSMM must receive your booth payment by May 1, 2005 to guarantee your reserved booth, otherwise your booth space may be cancelled.  If no payment is received by June 1, 2005, we will cancel your reserved booth, assuming you do not wish to participate in this year's trade show.  Print a copy of this form using your browser's PRINT button.

EXHIBITOR CANCELLATION:
If an exhibitor cancels a prepaid booth reservation prior to May 1, 2005, a full refund of your payment will be made.  If cancelled during the month of May, a $100.00 deduction will be made from the refund amount.  A cancellation of a reserved booth after June 1, 2005 will result in no refund.

Date of Application:_______________________  Number of Booths:____________

Company Name:___________________________________________________________

Mailing Address:___________________________________________________________

City/State/Zip:_____________________________________________________________

Web URL:________________________________________________________________
This information allows us to link your firm from our Show Floorplan and Exhibitor webpages. You get linked from the NAOSMM website for free!

Contact Person:____________________________________________________________

Position/Title:______________________________________________________________

Phone Number:_____________________________    FAX:_________________________

Booth Preference #:   1st________    2nd_________   3rd___________

Booth Number(s) Assigned by NAOSMM:_______________________
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BOOTH FEE IS $500.00 PER 10' X 8' BOOTH IF PAYMENT IS MADE PRIOR TO JAN 1, 2005.
BOOTH FEE IS $600.00 PER 10’ X 8’ BOOTH IF PAYMENT IS MADE AFTER JAN 1, 2005.

MAKE CHECKS PAYABLE TO NAOSMM.

WE ALSO ACCEPT MASTERCARD AND VISA

SUBMIT APPLICATION WITH PAYMENT TO:
Joanne Brown
Lab Supply Coordinator
Haverford College
Biology & Chemistry Departments
370 Lancaster Ave.
Haverford, PA   19041

610-896-1326 VOICE
610-896-4963 FAX