Will you require electricity? Yes  No
NOTE: Some facilities charge a fee for access to electricity. Please see website for details.

Regional Offer Discounts
Receive a discount for purchasing booths at any or all of these clinic combinations.

Please indicate below your booth purchases by clinic:

	Booth Type	1 booth	2 booths	3 booths	Total Booths	Total Costs
Glazier Clinic Online	Tabletops	$0.00	$0.00	$0.00	0 1 2 3
Online Clinics and Live Webinars	Tabletops	$0.00	$0.00	$0.00	0 1 2 3
Vendor Discounts	Tabletops	$0.00	$0.00	$0.00	0 1 2 3
Atlanta, GA Galleria...Feb 5-7 2010	6 x 8 booths*	$795.00	$1395.00	$1935.00	0 1 2 3
Atlanta, GA Jan Select...Jan 15-16 2010	Tabletops	$295.00	$560.00	$795.00	0 1 2 3
Atlanta, GA Mar Select...Mar 5-6 2010	Tabletops	$295.00	$560.00	$795.00	0 1 2 3
Baltimore, MD Select...Jan 22-23 2010	Tabletops	$295.00	$560.00	$795.00	0 1 2 3
Baltimore, MD...Feb 12-14 2010	Tabletops	$795.00	$1395.00	$1935.00	0 1 2 3
Boston, MA Select...Jan 22-23 2010	Tabletops	$295.00	$560.00	$795.00	0 1 2 3
Boston, MA...Feb 4-6 2010	Tabletops	$795.00	$1395.00	$1935.00	0 1 2 3
Charlotte, NC...Feb 11-13 2010	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
Cherry Hill, NJ...Feb 18-20 2010	Tabletops	$795.00	$1395.00	$1935.00	0 1 2 3
Chicago, IL...Feb 4-6 2010	Tabletops	$795.00	$1395.00	$1935.00	0 1 2 3
Chicago, IL...Mar 5-7 2010	Tabletops	$795.00	$1395.00	$1935.00	0 1 2 3
Cincinnati, OH Select...Jan 22-23 2010	Tabletops	$295.00	$560.00	$795.00	0 1 2 3
Cincinnati, OH...Feb 25-27 2010	Tabletops	$795.00	$1395.00	$1935.00	0 1 2 3
Cleveland, OH...Mar 4-6 2010	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
Costa Mesa, CA...Feb 19-21 2010	Tabletops	$795.00	$1395.00	$1935.00	0 1 2 3
Dallas, TX...Feb 19-21 2010	Tabletops	$695.00	$1185.00	$1635.00	0 1 2 3
Denver, CO...Feb 12-14 2010	Tabletops	$695.00	$1185.00	$1635.00	0 1 2 3
Detroit, MI...Feb 11-13 2010	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
Grand Rapids, MI...Feb 18-20 2010	Tabletops	$695.00	$1185.00	$1635.00	0 1 2 3
Houston, TX...Feb 26-27 2010	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
Indianapolis, IN...Feb 18-20 2010	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
Kansas City, MO Select...Jan 29-30 2010	Tabletops	$295.00	$560.00	$795.00	0 1 2 3
Kansas City, MO...Feb 11-13 2010	Tabletops	$695.00	$1185.00	$1635.00	0 1 2 3
Las Vegas, NV...Mar 4-6 2010	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
Minneapolis, MN...Feb 19-21 2010	Tabletops	$795.00	$1395.00	$1935.00	0 1 2 3
Mobile, AL Senior Bowl...Jan 28-30 2010	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
Nashville, TN...Feb 12-14 2010	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
NYC/North Jersey...Feb 26-27 2010	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
Phoenix, AZ...April 9-11 2010	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
Pittsburgh, PA...Feb 19-20 2010	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
Providence, RI...Mar 12-13 2010	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
San Antonio, TX...Jan 8-9 2010	Tabletops	$795.00	$1395.00	$1935.00	0 1 2 3
Santa Clara, CA...Feb 12-13 2010	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
Seattle, WA...Feb 26-28 2010	Tabletops	$695.00	$1185.00	$1635.00	0 1 2 3
St. Louis, MO...Feb 26-28 2010	Tabletops	$695.00	$1185.00	$1635.00	0 1 2 3
Tulsa, OK...Feb 4-6 2010	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
Discount
Administrative Fee
Totals

*Some of the booths at Atlanta, GA Galleria will be tabletops in main hallways.

Payment Options
Please make all payments before the selected clinic(s) start dates.

Check. Make payable and send to: Glazier Clinics, Box 63673 Colorado Springs, CO 80962-3673

Credit Card.
*A 2% administrative fee will be added to the Amount Due for credit card use.

How do you want your booth sign to read?

Please provide names of clinic personnel. Two generic badges will be provided if no names are submitted at least two weeks prior to the clinic. (Separate names with commas(,)).

Other comments:

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When making hotel reservations, mention MEGA Clinics or Frank Glazier Clinics for reduced hotel rates!

Terms and Conditions

Exhibit space will be allocated ONLY UPON RECEIPT OF COMPLETED APPLICATION AND PAYMENT. Glazier Clinics reserves the right to decline a contract, refuse clinic admittance and/or remove any exhibitor from a clinic at its sole discretion. Exhibit booth contracts are non-transferable. Entertainment Publications is the sole fundraising company permitted to exhibit at the Glazier Clinics.

All exhibitors are responsible for the security of their property at all times. Glazier Clinics does not assume any responsibility. All property of the exhibitor shall be deemed to be under his/her custody and control in transit to, from and/or within the confines of the exhibit hall. Exhibitors are advised to carry floater insurance to cover exhibit materials against injury to the person and property of others. Neither Glazier Clinics nor the hotel will be responsible for any injury loss or damage that may be caused by or occur to the exhibitor or to the exhibitor's employees, agents or property from any cause prior to, during or subsequent to the period covered by the exhibit contract. The exhibitor signing this contract expressly releases Glazier Clinics, the hotel and their respective agents and employees, and agrees to indemnify, defend and hold harmless them and each of them from all liability (damage or accident) which might ensue from any cause resulting or connected with the transportation, placing, removal, custody or display of exhibits.

Any booth cancellation refunds will be less 15% administrative fees until December 31, 2009. After January 1, 2010, no refunds will be given. The exhibitor is responsible for any attorney fees and litigation costs required by Glazier Clinics to collect booth fees.

Visit our websites at http://www.megaclinic.com/megaclinic/clinicsetup.php for decorator packets, facility information, directions and time or locations changes.

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