WELCOME EXHIBITORS. Please review the pages carefully. This kit contains information which will assist you in planning for your event.

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1 WELCOME EXHIBITORS MID STATES EXPOSITION SERVICES, INC. is proud to have been selected by Show Management as the official general service contractor for the Leading Age Michigan Annual Conference. As the general service contractor, we are able to provide for a rental fee a wide variety of services to enhance your booth space at this year s event. Our goal is to help make sure your show participation is a success. Please review the pages carefully. This kit contains information which will assist you in planning for your event. Take advantage of our substantial price discounts! Order before the deadline date. PAYMENT MUST ACCOMPANY YOUR ORDER Official General Service Contractor YOUR BOOTH INCLUDES: Mid States Exposition Services, Inc. 1-2 x8 Covered and Skirted Table 100 McEwan Street 2- Folding Chairs Clare, Michigan Company ID Sign Phone: 989/ Fax: 989/ Show Color is Black midstatesexpo@midstatesexpo.com This facility is carpeted. Office Hours: Monday Friday 9:00am 5:00pm ET 1) ADDITIONAL RENTAL SERVICES FORMS: Advanced discount prices are available through Friday May 1, Please complete the entire form and return with payment. Telephone orders will not be accepted. Faxed orders must be accompanied by our Credit Card Authorization Form. Orders received after this date will be charged at the floor price up until Friday May 8, After this date you will need to place your order on-site based upon availability. 2) FREIGHT HANDLING SERVICES: All freight must be received on or before Friday May 8, 2015(REFER TO MATERIAL HANDLING REQUEST FORM). Freight received after this date will be considered late freight and will be subject to an additional handling fee unless special handling services have been arranged in advance. Freight received after Friday- May 15, 2015 at 5:00 pm will be returned to shipper unless special handling services have been arranged in advance. Shipments to the Facility are not recommended. MSES is not responsible for materials sent directly to the Facility. 3) PAYMENT POLICY AND CREDIT CARD AUTHORIZATION: Please read carefully the information on our payment policy. Orders without payment will not be processed until payment has been received, and may be subject to floor prices. Faxed orders will be accepted only when accompanied by a completed Credit Card Authorization Form. Adjustments / refunds will not be made after the close of the show. This includes claims of items not being placed in your booth. 4) RENTAL POLICIES AND GUIDELINES: Please inform your booth staff that we at Mid States Exposition Services, Inc. take great pride in our equipment and service. Therefore we ask that there be NO pinning, taping, wiring, stapling, gluing, etc. to any material on or from the exhibit equipment and drapery material. (ie: Drapes, Tables skirts, and Poles). Any damage will be the responsibility of the show manager. Fees may be incurred. Sign hooks are available for this purpose. Mid States Exposition Services, Inc. has the right to remove any materials, which have been improperly hung without notification of the exhibitor. Mid States will supply show management with a list of booth numbers, detailed descriptions and fees associated with the damage for their use. We look forward to working with you. MID STATES EXPOSITION SERVICES, INC.

2 100 Mc Ewan Street - Clare, MI Phone: (989) Fax: (989) midstatesexpo@midstatesexpo.com ALL RENTALS GOVERNED BY MSES PAYMENT POLICY AND LIMITS OF LIABILITY & RESPONSIBILITY PLEASE PRINT OR TYPE THIS FORM NAME OF SHOW / Leading Age Michigan Annual Conference EVENT: SHOW DATE(S): COMPANY NAME: BOOTH NUMBER(S): May 19, 2015 ADDRESS: PHONE NUMBER: CITY: STATE: ZIP: FAX NUMBER: BY: SIGNATURE: (REQUIRED) RENTABLE DISPLAY TABLES - FOR DURATION OF SHOW 30" Tall - PLAIN WOODEN (NO COVER - NO SKIRT) DISPLAY TABLES ADVANCED DISCOUNT PRICE IF BEFORE TABLES SIZE 2 FOOT WIDE X 4 FOOT LONG - PLAIN $15.00 $ FOOT WIDE X 6 FOOT LONG - PLAIN $ FOOT WIDE X 8 FOOT LONG - PLAIN $40.00 ADVANCED DISCOUNT PRICE IF BEFORE TABLES SIZE 2 FOOT WIDE X 4 FOOT LONG $30.00 $ FOOT WIDE X 6 FOOT LONG $ FOOT WIDE X 8 FOOT LONG $40.00 $ th Side Skirting - * To Indicate Table Size $ " tall - PLAIN DISPLAY COUNTERS -(NO COVER - NO SKIRT) - 24" wide X 4' - 6' - 8' long ADVANCED DISCOUNT PRICE IF BEFORE TABLES SIZE 4 FOOT LONG / PLAIN $30.00 $ FOOT LONG / PLAIN $ FOOT LONG / PLAIN $40.00 $ " Tall - COVERED AND SKIRTED WOODEN DISPLAY TABLES (3 SIDES) (MARK SKIRTING COLOR BELOW) 40" tall - COVERED AND SKIRTED DISPLAY COUNTERS - 24" wide X 4' - 6' - 8' long (3 SIDES) (MARK SKIRTING COLOR BELOW) TABLES SIZE ADVANCED DISCOUNT PRICE IF BEFORE 4 FOOT LONG $50.00 $ FOOT LONG $55.00 $ FOOT LONG $60.00 $ th Side Skirting - * To Indicate Table Size $20.00 Indicate SKIRTING color choice: (Tables and Counters - White Vinyl Top and pleated skirt on 3 sides) If NO color is indicated Show Colors will be used Choices: Black - Blue - Burgundy - Forest Green - Red - White - Show Colors- Indicate in box to right TOTAL AMOUNT ENCLOSED Please no pinning, taping, wiring, stapling, gluing, etc. of any materials on or from the exhibit drapery materials (ie: curtains or tableskirts). Any damage done to rentable equipment is the responsibility of the exhibitor. Fees may be incurred. Make payments in U.S. funds. Cancellations: Items cancelled will be charged at 50% of original price 7 days prior to when contractor move in begins and 100% of original price there after. PLEASE RETURN WITH CREDIT CARD AUTHORIZATION OR PAYMENT IN FULL

3 100 Mc Ewan Street - Clare, MI Phone: (989) Fax: (989) midstatesexpo@midstatesexpo.com ALL RENTALS GOVERNED BY MSES PAYMENT POLICY AND LIMITS OF LIABILITY & RESPONSIBILITY PLEASE PRINT OR TYPE THIS FORM NAME OF SHOW / Leading Age Michigan Annual Conference EVENT: SHOW DATE(S): May 19, 2015 COMPANY NAME: ADDRESS: BOOTH NUMBER(S): PHONE NUMBER: CITY: STATE: ZIP: FAX NUMBER: BY: SIGNATURE: (REQUIRED) RENTABLE DISPLAY FURNITURE & ACCESSORIES- FOR DURATION OF SHOW 12" TALL - TABLE TOP RISERS - 11" WIDE X 4' - 6' - 8' LONG ADVANCED DISCOUNT PRICE IF BEFORE 4 FOOT LONG - PLAIN $ FOOT LONG - PLAIN $20.00 $ FOOT LONG - PLAIN 13" TABLESKIRT FOR RISER ADD $ TH SIDE SKIRT - * TO INDICATE SIZE & ADD $20.00 INDICATE SKIRTING COLOR CHOICE BELOW CHAIRS FOLDING CHAIRS $8.00 $10.00 PADDED CHAIRS $15.00 $20.00 COUNTER HIGH CHAIRS WITH BACK BAR STOOL WITHOUT BACK $20.00 PLASTIC MOLDED CHAIRS $15.00 $20.00 WASTEBASKET $5.00 $10.00 EASEL (ADJUSTABLE WOODEN) $15.00 $20.00 CLIP ON LIGHT $ ' ALUMINUM UPRIGHT $5.00 $ ' - 10' CROSSBAR $5.00 $10.00 (UPRIGHTS NOT INCLUDED) 4' X 8' PEG BOARD $50.00 $ " ROUND TABLE 40" TALL 30" ROUND TABLE 40" TALL $30.00 $40.00 CLOTHES TREES, CHROME $20.00 GARMET RACKS $30.00 Indicate SKIRTING color choice: (Table Top Riser - White Vinyl Top and pleated skirt on 3 sides) If NO color is indicated Show Colors will be used Choices: Black - Blue - Burgundy - Forest Green - Red - White - Show Colors- Indicate in box to right Please no pinning, taping, wiring, stapling, gluing, etc. of any materials on or from the exhibit drapery materials (ie: curtains or tableskirts). Any damage done to rentable equipment is the responsibility of the exhibitor. Fees may be incurred. ACCESSORIES TOTAL AMOUNT ENCLOSED Make payments in U.S. funds. Cancellations: Items cancelled will be charged at 50% of original price 7 days prior to when contractor move in begins and 100% of original price there after. PLEASE RETURN WITH CREDIT CARD AUTHORIZATION OR PAYMENT IN FULL

4 100 McEwan Street - Clare, MI Phone: (989) Fax: (989) midstatesexpo@midstatesexpo.com ALL RENTALS GOVERNED BY MSES PAYMENT POLICY AND LIMITS OF LIABILITY & RESPONSIBILITY PLEASE PRINT OR TYPE THIS FORM NAME OF SHOW / Leading Age Michigan Annual Conference EVENT: SHOW DATE(S): COMPANY NAME: BOOTH NUMBER(S): May 19, 2015 ADDRESS: PHONE NUMBER: CITY: STATE: ZIP: FAX NUMBER: BY: SIGNATURE: (REQUIRED) MATERIAL HANDLING AND PRE-SHIPMENT NOTIFICATION Shipments will be received and handled in accordance with the information set forth on the enclosed shipping and material handling rates. *** ATTACH SEPARATE SHEETS FOR MULTIPLE SHIPMENTS*** PRE - SHIPMENT / OUTBOUND SHIPMENT CHECK LIST 1. Complete this form and attach a copy of your bill of lading or tracking numbers for each shipment /item you are planning to send. Frieght handling charges are based on your total weight of all shipments not per shipment. Rates are Round Trip and do not include your Frieght carrier fees. 2. Inbound Freight each piece must be labled as oulined to the right 3. All Shipments must be sent pre-paid. Collect or COD Shipments will be returned to sender. 4. Our preferred carriers are YELLOW FREIGHT and FEDERAL EXPRESS. 5. OUTBOUND SHIPMENTS: All outbound shipments must be properly boxed, labeled ( with all prior shipping information removed ). You will also need a completed bill of lading for your preferred carrier. We will not ship freight out via UPS (United Parcel Service) and or the U.S. Postal Service. TO: C/O NAME OF EXHIBITING COMPANY AND BOOTH NUMBER Leading Age MI -Conference MID STATES EXPOSITION SERVICES INC. 100 N. MCEWAN STREET CLARE, MICHIGAN Mid States Exposition Services, Inc. will contact your carrier and make arrangements for material pick up. If your preferred carrier is unable to pick up materials from event location, MSES reserves the right to ship outbound matrials via one of it's preferred carriers. INBOUND FREIGHT INFORMATION Shipped From: Carrier: Shipping Date: Apprx. Arrival Date: Total # of Pieces: Total Weight: Pro/Tracking Numbers: OUTBOUND FREIGHT INFORMATION Will You Be Shipping Out Shipping To:(Address) City, State, ZipCode: Carrier Name: Carrier Toll Free Number Total Number of Pieces: Total Estimated Weight: HANDLING SERVICES RATES MATERIAL HANDLING UP TO 200 POUNDS $90.00 ADDITIONAL IN 100 POUND INCREMENTS $45.00 SHIPMENTS RECEIVED AFTER DEADLINE MATERIAL HANDLING RATES - ROUND TRIP Rates include all labor and equipment required to load and unload shipments, storage up to 30 days in advance of event set up, delivery to booth space, removal of crates from booth space and storage for duration of the show. Reload into outbound carrier. ALL FREIGHT MUST BE RECEIVED BY: Friday - May 8, 2015 $50.00 Shipments received after deadline date are not guaranteed for delivery. We will work with you in attempting to have your shipment rerouted to show site at shipppers expense. :

5 100 McEwan Street Clare, MI Phone: (989) Fax: (989) Office Hours: M-F 9:00 am - 5:00 pm MATERIAL HANDLING INFORMATION AND SHIPPING INSTRUCTIONS 1. SHIPPING TO THE DESIGNATED WAREHOUSE: Mid States Exposition Services, Inc., as the exclusive general service contractor, will receive crated, boxed, or skidded materials at the warehouse up to 30 days prior to MSES move in. Shipments must be sent with freight charges PREPAID. COLLECT SHIPMENTS WILL BE REFUSED. Maximum weight per shipment is 2500 lbs. Maximum size of shipment is 6' wide by 6' tall. If you have special needs please contact us. Uncrated and loose materials cannot be received at the warehouse. 2. SHIPPING TO SHOW SITE: Direct shipment to show site are discouraged. MSES is not responsible for shipments sent to show site. These shipments must arrive only during official exhibitor move in dates and times 3. TRUCKED SHIPMENTS / SHIPMENTS BROUGHT IN EXHIBITORS VEHICLES TO SHOW SITE: These Shipments must arrive during official exhibitor move in dates and time. Your representative must be present to sign for any shipments or they will be refused. MSES are not responsible for shipments brought to show site. Additional fees may be incurred. 4. INTERNATIONAL SHIPMENTS: Shipments originating from countries other than the United States must be cleared through customs. Please allow extra time when shipping. For more information contract the Official Customs Broker. 5. RECEIVING AND HANDLING INBOUND SHIPMENTS: BILL OF LADING All shipments must have a bill of lading or delivery slip showing the number of pieces, type of merchandise and weight. A copy should be mailed with the enclosed MATERIAL HANDLING SERVICE REQUEST FORM - PRE-SHIPMENT. CERTIFIED WEIGHT RECEIPTS Carrier will be required to submit certified weight receipts when receiving shipments for unloading. Mid States Exposition Services, Inc. reserves the right to refuse to unload such shipments until a Certified Weight Receipt is presented. In the event that no weight is indicated on delivery documents provided, Mid States Exposition Services, Inc. shall estimate the weight. If actual scale weight figures are not submitted prior to the move - out period, the estimated weight will be final binding. All shipments received at the warehouse and show site are subject to re - weigh. 6. OUTBOUND SHIPPING AND HANDLING: Outbound materials will be moved from your booth and reloaded on designated vehicles. Your representative will be responsible for re - packing, labeling, and completing all information required by your outbound freight carrier. Please leave all items in your booth space. When materials are labeled, packed and ready to be shipped, please notify our service desk. In order to expedite removal of materials, Mid States Exposition Services, Inc. reserves the right to change designated carriers, if such carriers fail to pickup or refuse to accept shipments. Where no disposition is made, materials will be returned to the warehouse awaiting shipping instructions from the exhibiting company and charges will be billed accordingly. All outbound shipments are sent freight collect or billed to shippers account. 7. MATERIAL HANDLING CHARGES: Please refer to our enclosed Material Handling & Pre-Shipment Notification. Rates are based on incoming weight only, whether the services are used completely or in part. The weight is rounded up to the next hundred pounds and is taken from the inbound bill of lading. Freight handing charges are the responsibility of the exhibiting company for whom handled. The exhibiting company may not assign this responsibility to suppliers or customers. 8. FREIGHT HANDLERS WEB ADDRESSES: YELLOW FREIGHT: MSES PREFERRED CARRIER: Federal Express

6 100 McEwan Street Clare, MI Phone: (989) Fax: (989) E- Mail - midstatesexpo@midstatesexpo.com LIMITS OF LIABILITY AND RESPONSIBILITY 1. Mid States Exposition Services, Inc. and it s subcontractors shall not be responsible for damage to uncrated materials, materials improperly packed, or concealed damage. 2. Mid States Exposition Services, Inc. and it s subcontractors shall not be responsible for loss, theft, or disappearance of exhibitor s materials after same have been delivered to exhibitor s booth space. 3. Mid States Exposition Services, Inc and it s subcontractors shall not be responsible for loss, theft, or disappearance of materials before they are picked up from exhibitors booth for reloading after the show. Bills of lading covering outgoing shipments will be checked at time of actual pickup from the booth and corrections made where discrepancies occur. 4. Mid States Exposition Services, Inc. and it s subcontractors shall not be responsible for any loss, damage, or delay due to fire, Acts of God, strikes, lockouts or work stoppage of any kind or to any cause beyond it s control. 5. Mid States Exposition Services, Inc. and it s subcontractors liability shall be limited to the physical loss of or damage to the specific article which is lost or damaged, and in any event Mid States Exposition Services, Inc. and it s subcontractors maximum liability shall be limited to $.30 per pound per article with a maximum liability of $50.00 per item, or $1, per shipment, whichever is less. 6. Mid States Exposition Services, Inc. and it s subcontractors shall not be liable to any extent whatsoever for any actual, potential, or assumed loss of profits or revenues, or for any collateral costs, which may result from any loss or damage to an exhibitor s materials which may make it impossible or impractical to exhibit same. 7. Claims for loss or damage must be submitted to Mid States Exposition Services, Inc. prior to the close of show. No suit or action shall be brought against Mid State Exposition Services more than one year after the accrual of the cause of action. 8. INSURANCE - It is understood that Mid States Exposition Services, Inc. and it s subcontractors are not an insurer, that insurance, if any, should be obtained by the exhibitor. It is suggested that exhibitors arrange for all risk coverage. This can be done by endorsements to existing policies. Exhibitor s materials should be insured from the time they leave their firm until they are returned after the close of show. 9. The consignment or delivery of shipment to Mid States Exposition Services, Inc. and it s subcontractors by an exhibitor, or by any shipper to or on behalf of the exhibitor, shall be construed as an acceptance by such exhibitor ( and / or other shipper ) of the terms and conditions set forth. 10. Empty container labels will be available at Mid States Exposition Services, Inc. Service Desk. Affixing the labels is the sole responsibility of the exhibitor or his representative. All previous labels should be removed. Mid States Exposition Services, Inc. and its subcontractors assume no responsibility for: Error to above procedures Removal of containers with old empty labels and without MSES labels. Improper information on empty labels. Materials stored in containers without empty labels. 11. The Exhibitor agrees, in the event of a dispute with Mid States Exposition Services, Inc. or it s subcontractors relative to loss or damage to any of their materials or equipment, that the Exhibitor will not withhold payment in any amount due to MSES material handling services or any other service provided by MSES or it s subcontractors as an offset against the amount of alleged loss or damage. Instead the Exhibitor agrees to pay MSES prior to close of show for all such charges and further agrees that any claim the Exhibitor may have against MSES or it s subcontractors shall be pursued independently by the Exhibitor as a completely separate transaction to be resolved on its own merits. 12. Mid States Exposition Services, Inc. and it s subcontractors shall not be liable for shipments received without receipts, freight bills, or specified unit counts on receipts or freight bills, such as UPS or van lines. Such shipments will be delivered to the booth without guarantee of piece count or condition.

7 MID STATES EXPOSITION SERVICES, INC 100 N. McEwan St. - Clare, MI Phone: (989) Fax: (989) midstatesexpo@midstatesexpo.com Office Hours: M-F 9:00 am 5:00 pm PAYMENT POLICY - RENTAL TERMS & CONDITIONS 1) ADVANCE ORDERS FOR RENTALS AND PREDETERMINED SERVICES: * MUST be received no later than the deadline date printed in your Welcome Exhibitor Letter or Service Forms. * PAYMENT IN FULL must accompany your completed order form(s). 2) FORMS OF PAYMENT ACCEPTED: * Company Check or Money Order. NO STARTER CHECK WILL BE ACCEPTED. * Credit Card MasterCard, VISA or American Express with completed Authorization. *A $30.00 Service Fee will be added if credit card used is invalid and/or we must call or fax for a new number in order to meet your event deadline. * Purchase Orders are NOT considered Payment. 3) ALL INVOICES must be settled at our Service Desk prior to the rented equipment being placed in your booth. Adjustments to your invoice will not be made after the opening of the show. Some items, services and labor are subject to a cancellation fee. 4) RECEIPT OF PAYMENT OR ORDER: MSES consider your copy of the rental agreement as your receipt of payment. Additional receipts may be requested in writing along with a self addressed stamped envelope. Receipts will be forwarded within days after request. MSES will not fax or mail receipts of payment or order. 5) ADJUSTMENTS & CANCELLATION ORDERS: (All requests must be in writing) Adjustments to your invoice will not be made after the close of the show. (Including Claims of Unplaced Rental Equipment or Furnishings) * REFUNDS MADE IN COMPANY CREDIT ONLY OR CREDIT CARD CREDITS. * Orders canceled will be charged 50% of original price 7 DAYS PRIOR TO when contractor move in begins and 100% of original price there after. Some items, services and labor are subject to cancellation fees. 6) FLOOR ORDERS (Any Orders received after the deadline date or those sent without payment): * All will be charged Floor Price. * Will be filled on a first come/first served basis. * PAYMENT IN FULL required at time of order. 7) RETURNED CHECKS: *There will be a $30.00 service charge added to your account for all checks returned to us by our bank or Denied Credit Card Authorizations. * If we receive two (2) returned checks or credit card denials within any six (6) month period of time your account will be placed on C.O.D. or " Payment In Advance" status for six (6) months.

8 8) EQUIPMENT AVAILABILITY & POSSESSION: Ordering early saves you time and money. Availability of equipment on the show floor cannot be guaranteed. Possession of unverified or unpaid equipment shall result in a) confiscation of equipment and/or b) payment of full rental floor price charged upon demand. 9) RESPONSIBILITY FOR EQUIPMENT OR FURNISHINGS: From the time the equipment or furnishings are rented, you are responsible for them. If the equipment or furnishings are lost, stolen, or damaged under any circumstances while rented, regardless of fault, you the renter shall be responsible for all charges, including labor costs, to replace or repair the equipment or furnishings. 10) USE OF RENTAL EQUIPMENT OR FURNISHINGS: You the renter agree that the equipment or furnishings will be used for the purpose for which they were manufactured and intended. Subleasing or improper use is prohibited. 11) EQUIPMENT OR FURNISHINGS FAILURE: In the event any rented equipment or furnishings should become unsafe, damaged or ceases to be in good working order, you the renter will discontinue use so as to prevent further damage to the equipment, injury or damage to persons or property. On notification, MSES shall make reasonable effort to replace or repair such equipment or furnishings provided it has personnel, equipment or furnishings available, however, MSES shall not be responsible for damages, injury or loss of revenue including consequential damages resulting from failure or any defect of the rental equipment or furnishings. 12) RENTAL OF EQUIPMENT OR FURNISHINGS: The rental of equipment or furnishings is MSES property and is rented to the renter subject to this contract for rental charges. If renter fails to leave the equipment or furnishings in their booth space at the close of show, MSES, to enforce its property ownership of the equipment or furnishings and to protect its interest under this contract, may retake the equipment or furnishings at any time and to do so may enter your property, and renter hereby waive any right of action against MSES for such entry and retaking. In addition, renter acknowledges that the failure to relinquish rented equipment or furnishings within the contracted time and the sale or concealment of rented equipment or furnishings is prohibited, and that such action may constitute a crime. MSES may notify the authorities and take other action, including filing of criminal complaints, subjecting renter to prosecution. 13) COLLECTION COSTS: Renter agrees to pay attorney fees, collection fees, court costs, and any other expenses incurred in collecting any charges under this agreement, in retaking the rented equipment or furnishings or otherwise in enforcing the terms of this contract A 2% per month service fee will be charged if payments are not made when due, plus an additional fee equal to interest charges allowed by law not to exceed 2% per month if payment is more than 30 days overdue. 14) COLOR SELECTIONS: Indicate color where applicable. Choices not indicated by exhibitor will be selected by MSES to coordinate with show colors. MSES reserves the right to select or change colors based upon availability. MID STATES EXPOSITION SERVICES, INC. reserves the right to change these policies, as it deems necessary. PLEASE MAKE A COPY OF THIS FOR YOUR RECORDS

9 Big Top Rental 100 Mc Ewan Street Clare, MI Phone: (989) Fax: (989) PAYMENT POLICY AND CREDIT CARD AUTHORIZATION PAYMENT POLICY-Payment in full of all charges must accompany your advance orders. Payment may be made by company check or credit card authorization. Orders without payment will be charged at the. One copy of this form if you choose to pay by credit card must be completed with your credit card information and sent to the above address. PLEASE REMIT WITH YOUR ORDER. ALL CHARGES MUST BE PAID IN FULL PRIOR TO THE EQUIPMENT BEING PLACED IN YOUR BOOTH SPACE. If you wish to authorize MID STATES EXPOSITION SERVICES, INC. to charge the amount of your advance orders and any additional expenses incurred at show site by you or your representative to your credit card account, please complete the information required below. Please print or type this information. Please print a hard copy and fax information along with your completed rental forms to: (989) MSES is not responsible for the security of information sent via services. PLEASE KEEP IN MIND THAT THIS CARD WILL BE USED FOR ANY AND ALL ON-SITE CHANGES MADE TO YOUR ORDER BY YOUR COMPANY. CARD INFORMATION (Payment must be made in US Funds) Charge to: American Express Master Card Visa (A 5.5% Processing Fee will be added to the total invoice amount for VISA Cards) Security Code (required): 3-digit code Account Number: Expiration Date: (MM/YY) CARDHOLDER INFORMATION Cardholder Name (Print): Cardholder Signature (required): Cardholder s Billing Address: City: State: Zip Code: Company Exhibiting: Booth Number: Telephone Number: Fax Number: