Will you require electricity? Yes  No

Please indicate below your booth purchases by clinic:

	Booth Type	1 booth	2 booths	3 booths	Total Booths	Total Costs
Atlanta, GA Extreme...Feb 27-Mar 1 2009	Tabletops	$695.00	$1185.00	$1635.00	0 1 2 3
Atlanta, GA Galleria...Feb 6-8 2009	6 x 8 booths*	$795.00	$1395.00	$1935.00	0 1 2 3
Baltimore, MD...Feb 6-8 2009	Tabletops	$795.00	$1395.00	$1935.00	0 1 2 3
Boston, MA...Feb 12-14 2009	Tabletops	$795.00	$1395.00	$1935.00	0 1 2 3
Charlotte, NC...Feb 19-21 2009	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
Cherry Hill, NJ MEGA...Feb 19-21 2009	Tabletops	$795.00	$1395.00	$1935.00	0 1 2 3
Chicago, IL Glazier...Mar 6-8 2009	Tabletops	$795.00	$1395.00	$1935.00	0 1 2 3
Chicago, IL MEGA...Feb 5-7 2009	Tabletops	$795.00	$1395.00	$1935.00	0 1 2 3
Cincinnati, OH...Feb 19-21 2009	Tabletops	$795.00	$1395.00	$1935.00	0 1 2 3
Cleveland, OH...Mar 5-7 2009	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
Costa Mesa, CA...Mar 6-8 2009	Tabletops	$795.00	$1395.00	$1935.00	0 1 2 3
Dallas, TX...Feb 20-22 2009	Tabletops	$695.00	$1185.00	$1635.00	0 1 2 3
Denver, CO...Feb 13-15 2009	Tabletops	$695.00	$1185.00	$1635.00	0 1 2 3
Destin, FL...Feb 13-15, 2009	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
Grand Rapids, MI...Feb 19-21 2009	Tabletops	$695.00	$1185.00	$1635.00	0 1 2 3
Green Bay, WI...Feb 27-Mar 1 2009	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
Harrisburg, PA SVS...Mar 12-14 2009	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
Houston, TX...Feb 26-28 2009	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
Indianapolis, IN...Feb 26-28 2009	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
Kansas City, MO...Feb 12-14 2009	Tabletops	$695.00	$1185.00	$1635.00	0 1 2 3
Las Vegas, NV...Feb 5-7 2009	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
Minneapolis, MN...Feb 20-22 2009	Tabletops	$795.00	$1395.00	$1935.00	0 1 2 3
Nashville, TN...Feb 13-15 2009	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
Phoenix, AZ...Apr 3-5 2009	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
Pittsburgh, PA...Feb 20-22 2009	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
Providence, RI...Mar 12-14 2009	Tabletops	$495.00	$895.00	$1270.00	0 1 2 3
Santa Clara, CA...Feb 27-Mar 1 2009	Tabletops	$695.00	$1185.00	$1635.00	0 1 2 3
Seattle, WA...Feb 20-22 2009	Tabletops	$695.00	$1185.00	$1635.00	0 1 2 3
St. Louis, MO...Feb 27-Mar 1 2009	Tabletops	$695.00	$1185.00	$1635.00	0 1 2 3
Toledo, OH...Feb 12-14 2009	Tabletops	$695.00	$1185.00	$1635.00	0 1 2 3
Tulsa, OK...Feb 5-7 2009	Tabletops	$695.00	$1185.00	$1635.00	0 1 2 3
Totals

*Some of the booths at Atlanta, GA Galleria will be tabletops in main hallways.

Make check payable and remit to: MEGA Clinics, P.O. Box 63673, Colorado Springs, CO 80962-3673

How do you want your booth sign to read?

Please provide names of clinic personnel. Two generic badges will be provided if no names are submitted at least two weeks prior to the clinic. (Separate names with commas(,)).

Other comments:

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When making hotel reservations, mention MEGA Clinics or Frank Glazier Clinics for reduced hotel rates!

Terms and Conditions

Exhibit space will be allocated only upon receipt of completed application and payment. Frank Glazier/MEGA Clinics reserves the right to decline a contract, refuse clinic admittance and/or remove any exhibitor from a clinic at its sole discretion.

All exhibitors are responsible for the security of their property at all times. Frank Glazier Clinics/MEGA Clinics does not assume any responsibility. All property of the exhibitor shall be deemed to be under his/her custody and control in transit to or from and within the confines of the exhibit hall. Exhibitors are advised to carry floater insurance to cover exhibit materials against injury to the person and property of others. Neither Frank Glazier Clinics/MEGA Clinics nor the hotel will be responsible for any injury, loss or damage that may be caused by or occur to the exhibitor, or to the exhibitor's employees, agents or property from any cause prior to, during or subsequent to the period covered by the exhibit contract. The exhibitor signing this contract expressly releases Frank Glazier Clinics/MEGA Clinics, the hotel and their respective agents and employees from, and agrees to indemnify, defend and hold harmless them and each of them from all liability (damage or accident) which might ensue from any cause resulting or connected with the transportation, placing, removal, custody or display of exhibits.

Any booth cancellation refunds will be less 15% administrative fees until December 31, 2007. After January 1, 2008, no refunds will be given.

Visit our websites at http://www.megaclinic.com/megaclinic/clinicsetup.php for decorator packets, facility information, directions and time or locations changes.

Copyright ©2009, MEGA Clinics, LLC