Hyatt Regency Grand Cypress Hotel Lake Buena Vista Orlando, Florida

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An Invitation to Sponsor & Exhibit Florida Academy of Pain Medicine 201 Annual Scientific Meeting & Tradeshow June 6 8, 201 In conjunction with: American Academy of Regenerative Orthopedic Medicine Hyatt Regency Grand Cypress Hotel Lake Buena Vista Orlando, Florida I I How you BENEFIT: Meet with pain management practitioners from throughout Florida Support the professionals that support your business Enjoy the elegance and casual sophistication of The Hyatt Regency Cypress Hotel :<,oa AC qrt :(\oaaci/rt <\oaaci/rt ;~.,.;~..;~ The Florida Academy of f-..., ~4,r J V J).~ PAIN MEDICINE ilreu'c; ilre\j~ Integration & Innovation

Florida Academy of Pain Medicine P.o. Box 13489, St. Petersburg, FL 33733, Phone 727-581-4319 Fax: 727-581-8537 Email: belliveau@aol.com 2017 Annual Scientific Meeting & Tradeshow June 16-18,2017 Register Online OnLine Company Name: Exhibitor Agreement (please print exactly as name should appear in program and on signage) Contact Name: Title: Address: (All additional information will be mailed to this address, including Exhibitor Kit from tradeshow company) City: State: Zip: Phone: Fax: Email Address: ----------------------- @ --------------- _ Please indicate any competitive companies. We will try to recognize this in booth placement, but we cannot make any guarantees. Describe your company in 50 words or less: Booth Assignment: Booths will be assigned at the sale discretion of show management and will be based on the date of request and consideration of competition. Booth Fee: Priority - $1750 Each Standard - $1250 Each Total Number of Booths Requested: Priority Standard On-Site Representatives: 1) 2) _ Amount Enclosed: $ Method of Payment: 0 Check (payable to FAPM) Register Online OnLine

Integration & Innovation The Florida Academy of Pain Medicine Logo 2017 Annual Scientific Meeting & Tradeshow June 16-18,2017 Hyatt Regency Grand Cypress Hotel Commercial Support Opportunities Increase your company's exposure at the Annual Scientific Meeting by providing commercial support. Support opportunities are offered on a first come, first served basis. Company ----------------------------------------------------------------- Please print exactly as name should appear in program and on signage Describe your company in 50 words or less: Gold... $ 7,500 Silver... $ 5,000 ---'Friday Board Member Dinner... $ 3,500 Friday Preconference Box Lunch... $ 3,000 Saturday Annual Meeting Luncheon... $ 7,500 Saturday F APM Annual Meeting Dinner... $ 10,000 Syllabus Thumb Drives... $ 2,500 Representative #1 Representative #2 Address ------------------------------------------------------------------ City State Zip Phone Email --------------------------- ---------------------------------- Our tax ID# is 59~3298602 P.O. Box 13489 St. Petersburg, FL 33733 727-581-4319 www.fapmmed.net

1. Contract The following rules and regulations become binding upon acceptance of this contract between the applicant and its employees, and the Florida Academy of Pain Medicine (FAPM), the show sponsor and knowledge of competing companies. RULES AND REGULATIONS 10. Security Providing security for exhibits, exhibitor property and for exhibitors themselves, as well as for their employees, agents, representatives, and guests, shall be the sole responsibility of the exhibitor and of the exhibitor only. 2. Space Assignment Booth locations will be assigned at the sole discretion of show management. Placement will be made based on date of reservation and knowledge of competing companies 3. Booth Package Description Booth packages include 1 8'x10' pipe-and-drape booth, 1 6' draped table, 1 chair and 1 identification sign. Total individual exhibit floor space is limited to 8'x10' unless requested and approved in writing. No walls, partitions, signs or decorations may be erected which will interfere with the general view "down the aisle", or with other exhibits. 4. Show Move-In & Move-Out Move-In June 16, 2017, Friday... 8-10 am Move-Out June 18, 2017, Sunday... 1 pm 5. Exhibit Hours Friday, June 16, 2017 Move In... 8-10 am Exhibits Open... 10 am - 5 pm Coffee Break... 1 0-10:30 am Beverage Break... '"... 3-3:30 pm Saturday, June 17, 2017 Exhibits Open:... 8 am - 5 pm Specific Events: Breakfast...... 7-8 am Coffee Break... 10-10:30 am Beverage Break... 3-3:30 pm Sunday, June 18, 2017 Exhibit Open:... B:OO am - 1:00 pm Specific Events: Breakfast:.... 7-8 am Move out:... 1 pm 6. Unoccupied Space FAPM reserves the right, should any rented space remain unoccupied after the first hour of the show's opening, to rent or occupy said space. 7. Payments & Refunds The total amount for exhibit space is due upon the reserving of space and signing of the contract. In the event an exhibitor cancels a contract, FAPM must be notified in writing for refunds to be made. A cancellation fee of $50.00 will be deducted from any refund made. No refunds will be made for cancellations within two weeks of the show. 8. Food Service FAPM reserves the right to provide food and beverage service during certain hours in the exhibit area. 9. Noisy and Obnoxious Equipment The operation of whistles or any objectionable devices will not be allowed. After the show opens, noisy and unsightly work will not be permitted. 'Times may change slightly from this Khedule. You will be notified with updates 11. Fire and Safety Regulations All local regulations whi be strictly enforced and the exhibitor assumes all responsibility for compliance with such regulations. Fire hose cabinets and fire exits must be left accessible and in full view at all times. All display materials and decorations must be flameproof and subject to inspection. No flammable substances may be used or shown in booths. 12. Liability and Insurance The hotel management and FAPM will take all reasonable precautions to avoid loss of exhibitors' property by theft or fire, but under no circumstances shall the hotel management or FAPM be responsible for such losses, and it is recommended that exhibitors cover their property with suitable insurance. In the enforcement and interpretation of these rules and regulations, the decision of the Academy is final. 13. Damage to property Exhibitors are liable for any damage caused to the building, floor, walls, columns, or to standard booth equipment, or to other exhibitors' property. Exhibitors must not apply paint, lacquer, adhesive or any other coating to building, columns, floors or to standard booth equipment. 14. Public Policy Exhibitors are charged with knowledge of all ordinances and regulations pertaining to taxes, health, fire prevention, customs and public safety while participating in this show. Compliance with such laws is mandatory for exhibitors and the responsibility of the exhibitor. 15. Eligible Exhibits & Restrictions FAPM reserves the right to determine the eligibility of any company or products for inclusion in the show and reserves the right to reject, evict or prohibit any exhibit, in whole or in part, or any exhibitor or his representatives, with our without giving cause. FAPM reserves the right to deny the exhibition of inappropriate items and products. Drugs, chemicals or other therapeutic agents listed in AMt\s New and Non- Official Remedies, National Formulator or U.S. Pharmacopoeia may be displayed. Proprietary drugs, mixtures and special formulas may be displayed if documentary evidence of their acceptance by ethical medical organizations is on file with FAPM headquarters. New, unlisted andl or initial display items must be submitted for clearance prior to opening of the Meeting. Clinical and laboratory tests and evaluation on such items must be submitted at least one month prior to the opening date of the show. The same restrictions apply to medical journal advertisements or other displayed publications and all promotional literature. 16. Exhibit Floor Access FAPM reserves the right to limit access to the exhibit floor to anyone during times the show is not officially open. 17. Use of Booth Space Exhibitors shall reflect their company's highest standards of professionalism while maintaining their booths during the show hours. No exhibitor shall assign, sublet or share booth space without the permission of the Academy. 18. Exhibition Sales Policy Exhibitors may not accept payments in cash or checks or deliver merchandise in the exhibit hall. 19. Irregular Canvassing & Advertising Distribution Solicitation of business or meetings in the interest of business except that of exhibiting firms is prohibited. Exhibitors are urged to report to FAPM any violations of this rule.