Exhibit Space Agreement Between (Exhibitor) ________________________________________________and the Upper Cumberland Chapter of the American Association of Critical-Care NursesExhibit Space Agreement • April 11th, 2019
Contract Type FiledApril 11th, 2019Payment: Full payment of exhibit space is due by 8/1/2019. If payment is not received by the due date, the exhibitor will not be allowed to exhibit at this event. Payment Method (check one) ____ Payment exempt: Vendor sponsored speaker/meal ____ Check payable to: Upper Cumberland Chapter of AACN ____ Mail your registration with credit card number Credit Card: ___Visa ___Mastercard ___Discover ___American Express Card number: ______________________________ Expiration date: ____ Name on card: ______________________________________CVV:_____ Billing address:_______________________________________________ City, State and Zip:____________________________________________ Cardholder signature: __________________________________________ Send completed, signed agreement and payment to: Upper Cumberland Chapter of AACN P.O. Box 3462 Cookeville, TN 38502