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Exhibitor Form E-mail
Exhibit Agreement

The Seventh National Clinical Conference on Cannabis Therapeutics
April 26-28, 2012
Loews Ventana Canyon – Tuscon, Arizona


The below identified company, organization or individual requests space as an “Exhibitor” at The Seventh National Clinical Conference on Cannabis Therapeutics.

Exhibit space, table and chairs are to be provided by the primary sponsor of the conference, Patients Out of Time.

The Ventana Canyon resort will be available from Thursday April 26 through Saturday April 28, 2012 for all exhibitors during normal working hours.

The exhibits and personnel representing companies, organizations or themselves shall present a professional display of the products and services marketed. The exhibits shall be placed outside of the plenary room of the conference.  Attendees and visitors to the conference and visitors to the Ventana Canyon resort shall be welcomed to the exhibit area during conference and event hours, 0700-2200, Friday and Saturday.

Company / Organization / Individual

Name: ___________________________________________________________________

Address: _________________________________________________________________

_________________________________________________________________________

Phone: _______________________________ Fax: ________________________________

E-mail: ___________________________________________________________________

Name of individual responsible for exhibit on site: ___________________________________

Fees:   Non-profit 501c3 - $150 - $500    Non-profit 501c4 - $250 - $600

For profit - $600 -1,500

Contact for appropriate fee: Al Byrne, This e-mail address is being protected from spambots. You need JavaScript enabled to view it (434) 263-4484.

Checks or credit card payment must be received by April 15, 2012

Please print this Agreement and send with Payment to: Patients Out of Time

1472 Fish Pond Rd.   / Howardsville, VA 24562

 
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