SERMACS 2016 Exhibit Booth Application and Contract Page 1

In accordance with the attached Rules and Regulations, I (we) apply for exhibit booth space on October 23,24 and 25, 2016 at the 68th Southeastern Regional Meeting of the American Chemical Society (SERMACS 2016) at the Columbia Metropolitan Convention Center in Columbia, South Carolina.

**Please start typing in the grey area and the form should behave properly.

Company: _ _

Name of Contact Person: ______

Title of Contact Person: ______

Phone: ____Fax: ______

E-mail: ______

Mailing Address:

Please select the type of space for which you wish to apply:

Single Booth - 10x10 fully carpeted$900 until July1$1,200 thereafter

Double Manned Booth - 10x20 fully carpeted$1,600 until July1$2,000 thereafter

Single Unmanned Literature Display Table (placed at the discretion of the Exposition Chair)$500 at any time

For the benefit of promotion and publicity of the Exposition, I (we) authorize SERMACS 2016 to use the following description of the products and/or services to be exhibited. Please limit to 100 words. The Exposition Chair reserves the right to edit for style.

If you have any questions regarding the SERMACS 2016 Exposition, please feel free to contact Larry Metcalf directly at:

Larry Metcalf, Exposition Chair

SERMACS 2016

1002 Hollowtree Ct.

Columbia, SC 29212

972-358-0359

Names for Exhibitor Badges (up to two for single booths, up to four for double booths)

Additional Exhibitor Registrations are available on the normal registration form for $60 each

  1. Last Name: First Name:
  1. Last Name: First Name:
  1. Last Name: First Name:
  1. Last Name: First Name:

Opening Reception Prize Drawing

To participate in the Opening Reception Prize Drawing, one (1) prize worth $50 or more must be made available by the exhibitor. If you would like to participate in the Opening Reception Prize Drawing, please describe the prize and its approximate value in the space below.

Exhibitor Logo Hotlink ($50)

A basic link to your company website from the SERMACS 2016 website through your company name in the exhibitor listing is free. However, your company logo can be hot-linked from the SERMACS 2016 Exposition web page for an additional $50. If you would like your company logo included on the SERMACS 2016 Exposition web page, include the additional $50 in your payment and e-mail the logo you would like displayed to the Exposition Chair. All logos will be sized to a maximum of 3 inches along the major dimension.

Refreshment Break Sponsorships ($1000 each)

Sponsorship of refreshment breaks is available in $1000 increments. Each $1000 refreshment break sponsorship will feature the placement of a 28” × 44” sign with the sponsor’s company name and logo below the wording “Refreshment Break generously sponsored by…” in the immediate vicinity of the refreshment table or beverage area for the duration of the break (~90 minutes). Up to twenty (20) refreshment break sponsorships are available. Contact the Exposition Chair prior to including Refreshment Break Sponsorships in your payment to confirm that there is still space available. Choice of day & time for sponsorship placement will be on a first come, first serve basis and must be arranged with the Exposition Chair at the time of payment.

Payment Information

Booth Space Fee

Single Manned Booth$900 until July 1$1,200 thereafter

Double Manned Booth$1,600 until July 1$2,000 thereafter

Single Unmanned Literature Display Table$500 at any time

Logo Hotlink ($50)

E-mail the logo you would like displayed to the Exposition Chair.

All logos will be sized to a maximum of 3 inches along the major dimension.

Refreshment Break Sponsorships ($1000 each)#

Contact the Exposition Chair prior to including Refreshment Break Sponsorships in your payment to confirm that there is still space available. Choice of day & time for sponsorship placement will be on a first come, first serve basis and must be arranged with the Exposition Chair at the time of payment.

Total

Credit Card:AMEXVISAMCorCheck (to SERMACS 2016)

Card Number:

Expiration: / Code:

Name on Card:

Signature:

Mail or email completed form to:

Larry Metcalf, Exposition Chair

SERMACS 2016

1002 Hollowtree Ct.

Columbia, SC 29212

972-358-0359

This completed form constitutes a binding agreement between the Exhibitor and SERMACS 2016.

A copy will be sent to you immediately upon acceptance and booth space assignment.

DO NOT WRITE BELOW THIS LINE

Date Received: By:

Booth Number(s) Assigned:

Credit Card Payment Info to ACS National:

Email confirmation to Exhibitor on: By: