17 Exhibit Space Reservation Form 2017 AWWA ANNUAL CONFERENCE AND EXPOSITION June 11–14, 2017 Pennsylvania Convention Center | Philadelphia, PA THIS IS A TWO-SIDED FORM, PLEASE COMPLETE BOTH SIDES In s t r u c t i o n s For AWWA Use Only 1. Please print clearly and complete all information on both sides. 2. Prior to February 23, 2017, reservations will not be processed without complete information, signature, and a 25% deposit. 4. Send this completed form to AWWA Exhibit Services—ACE17 6666 West Quincy Avenue Denver, CO 80235-3098 Fax: 303.347.6157 Booth(s) Assigned: # Square Feet Dimensions # of Corners 3.On or after February 23, 2017, reservations will not be processed without complete information, signature, and full payment. Dollar Amt. Co m p a ny In f o r m at i o n (as it will appear in all conference publications, including the on-site program) Company Name Company Web URL Main Exhibit Contact Person to receive materials, correspondence, and billing from AWWA Street Address City Phone Number State/Province ZIP/Postal Code Country E-mail (main exhibit contact person) AAWWA Membership Number, if applicable (Your company must hold an AWWA Service Provider Membership through the conference for member booth rates. Individual Membership does not qualify for the member rate.) W e want to take advantage of the savings that come with an AWWA Service Provider Membership. Please contact us. N e w E x h i b i to r s I am interested in learning more about the AWWA Pavilion at Singapore International Water Week in 2017. I am interested in learning about AWWA International US/AWWA Pavilions and trade missions. How did you learn about exhibiting at ACE?___________________________________________________________________________________________________________ B o ot h C h o i c e s Number of booths (10' × 10'): __________ Corner booth preferred (add $200 per corner) Island booth—dimensions: ____________________ Preferred booth location: ________1st choice ________2nd choice ________3rd choice Companies from which we desire booth separation (identify by company name, NOT by products):__________________________________________________ __________________________________________________________________________________________________________________________________________________________ Questions? Contact us! 800.926.7337 | ExhibitorMail@awwa.org FOR AWWA USE ONLY Date Received _____________ Order Number___________________________________ AWWA signature ____________________________________________ C a n c e l l at i o n a n d Re f u n d Po l i c y Notice of cancellation must be given to AWWA in writing. Cancellation by an exhibitor of any portion of exhibit space reserved results in the following, if written cancellation notice is received by AWWA on or before the dates listed: • • • • Prior to August 25, 2016: Full refund of monies paid. ugust 25–October 27, 2016: 25% of the deposit will be forfeited A to AWWA, plus 100% of corner fees paid. If the exhibitor reduces the space reserved, the cancellation policy will apply to the canceled portion of space, and AWWA reserves the right to relocate the exhibitor to new booth space in the best interest of the conference. In fairness to all exhibitors involved, and to AWWA, the above policies regarding space assignment, payments, and refunds will be strictly adhered to by AWWA. ctober 28, 2015–February 23, 2017: 25% of the total booth space O will be forfeited to AWWA, plus 100% of corner fees paid. fter February 23, 2017 (final payment date): No refund will be A made. AWWA reserves the right to resell the space. Payment Information Please make sure this entire form is filled out with complete information and signed before submitting. Service Provider Member* TOTAL FEES $3,425 × ______________ = $________________ Nonmember TOTAL FEES $5,000 (number of booths) $200 $________________ $200 (number of corners) × ______________ = $________________ (number of corners) TOTAL $________________ TOTAL Service Provider Member* TOTAL DEPOSIT × ______________________ = $_____________________ $________________ Nonmember TOTAL DEPOSIT **$1,250.00 (25%) × = $____________________ ×__________________ = $____________________ (number of booths) $200 $________________ (number of booths) × ______________ = **$856.25 (25%) × ______________ = _____________________ (number of booths) ×__________________ = $____________________ $200 (number of corners) (number of corners) TOTAL TOTAL $____________________ $____________________ * Your company must hold a Service Provider Membership to qualify. Individual membership does not qualify for the member rate. ** 25% Deposit is accepted until February 23, 2017. After February 23, 2017, full payment must be submitted with the booth application. METHOD OF PAYMENT: (Make checks payable to AWWA, payable through US banks in US funds) American Express Discover MasterCard VISA Check Credit Card No.: _________________________________________________________ Exp. Date:________________________________________________________________ Signature: _______________________________________________________________ We hereby agree to 1. A bide by all Exhibitor Contractual Terms and Conditions (See on the Web at www.awwa.org/exhibitor). 2. Attach hereto our credit card number or check payable to American Water Works Association (AWWA) for 25% of the booth fee plus all corner fees as a deposit, which will be applied to our space rental cost. Applications received on or after February 23, 2017, must be accompanied by full payment. 3. Pay the 25% deposit by August 25, 2016. 4. Pay the balance of the space cost by February 23, 2017. Note: AWWA reserves the right to relocate your booth if deemed necessary. Agree for Exhibitor: Name (print):____________________________________________________________ Title: _____________________________________________________________________ Signature: _______________________________________________________________ Please make a copy of this form for your records before sending to AWWA. You will receive a confirmation copy by email after space is assigned. Thank you! We look forward to working with you.