Exhibit Application

NASP/AHI 5^th Annual  2008 Summer Conferences

Critical Skills & Issues in School Psychology

APPLICATION AND EXHIBIT CONTRACT

1. Exhibit Dates: (Choose one or both)

____ July 22-23, 2008  Atlantic City , NJ • Conference Dates: July 21-23,  2008

____ July 29-30, 2008  Las Vegas , NV • Conference Dates: July 28-30, 2008

2. Exhibiting Firm: ______________________________________________________________

Contact Person:  ________________________________________________________________

Product(s) to be exhibited:  ________________________________________________________

 ______________________________________________________________________________

Address:  ______________________________________________________________________

City/State/ Zip Code: ____________________________________________________________

Telephone:  _________________________________ Fax: _______________________________

Email:  ______________________________ Website: __________________________________

3. Names(s) as they should appear on registration badges:
______________________________________________________________________________

______________________________________________________________________________

4. Cost of Exhibit Space:

____$500. for each space, per meeting.  ($900 for 2 tables at one meeting, $1,200 for 3 tables)

____$900. for both meetings.  ($1,650 for 2 tables at both meetings, $2,200 for 3 tables)

5. Space Requirements: # of Exhibit Spaces ____           ___ Check here if you require electricity

6. Special Sponsorship Recognition: Bronze, Silver or Gold (See Exhibit Guidelines) $_______

Make checks payable to: American Healthcare Institute, LLC (AHI) and return signed contract to:  AHI Exhibits, PO Box 5, Dayton, MD 21036.    Or you may fax your completed contract and credit card payment authorization (Payment by MasterCard or Visa only accepted) to 410-956-4717.

Credit Cards:

Payment Amount $____________ Card #__________________________________________________

Exp. Date:________ Name as it appears on the card _________________________________

Signature of payer ____________________________________________

***Space reservations will be accepted in the order in which signed contracts are received with full payment. Please reserve early; spaces at each meeting are limited.

The exhibitor agrees to abide by all exhibit terms, conditions, and regulations set forth in the Exhibitor Guidelines.  Neither NASP nor AHI shall be held liable nor responsible for, and shall be saved and held harmless by exhibitors from and against any and all claims and damages of every kind arising out of or attributed, directly or indirectly, to the materials and services furnished by, and the operations or performance of the National Association of School Psychologists/American Healthcare Institute 5th Annual Summer Conferences to be held July 22-23, 2008 in Atlantic City, NJ; and July 29-30, 2008, in Las Vegas, NV.

Signature/Date:  __________________________________________________

Title:  __________________________________________________________

NASP/AHI RESERVE THE RIGHT TO CANCEL ANY EXHIBIT AGREEMENT.

(Please complete the application above, print, and mail or fax with payment as detailed.  Thank you.)