APPLICATION AND CONTRACT FOR EXHIBIT SPACE
For American Society of Safety Engineers Exposition
Colorado Convention Center
Denver, CO | June 3-5, 2012

INSTRUCTIONS: Complete all sections. Print a copy for your files.

Click here to view Rules & Regulations

The undersigned (hereinafter called "Exhibitor") hereby applies for space in the ASSE Exposition of the American Society of Safety Engineers (hereinafter called the "Society") scheduled to be held in Denver, CO June 3-5, 2012.

1 - COMPANY INFORMATION: (*Required Field)
*Firm Name
*Exhibits Contact Title
*Address
*City
*State/Prov *Zip
*Phone *Fax
*Email
Web


2 - Location Preferences: (*Required Field)
Please indicate below your preference for location and configuration of booth space.
1st Choice
2nd Choice
3rd Choice

Type of Booth
In-Line island peninsula cross aisle
  For in-line booths, corner locations are $250 per corner. Please indicate your preference:
  1 corner
2 corners
no corners

Do you prefer a better location over a corner booth?
yes no
Do you prefer middle and back or front & side of the exhibit floor?
*Feet Deep x *Feet Wide (Frontage) = *Total Sq. Ft
*Total Sq Ft x $24.00 = Amount $  
Corners apply to In-Line Booths only  
*Number of Corners x $250.00 = Amount $  
*Total Amount $  
 
3 - Amount Enclosed:
U.S. Funds or Check drawn on U.S. bank) 50% of the total space rental of our first choice (Paragraph P). 100% of the total space rental is due with the contract if contract is received on or after March 7, 2012. Make check payable to American Society of Safety Engineers Exposition.
4 - For Space assignment purposes list products/services to be exhibited:
Alarms & Signaling Devices
Audible & Visual Signaling Devices
Automobile Safety & Seat Belts
Biological Detection
Cleaning, Maintenance Material & Devices
Computer Services
Consulting Services
Defibrillators
Dermatitis Control Products
Driver Education
Drug Testing
Education and Training Aids
Electrical & Lighting Devices
Emergency Aids
Employee Assistance Programs (EAP)
Employee Rehabilitation Services
Ergonomics
Eye and Face Protection
Fall Protection
Fire Protection and Security
First Aid
Floors and Surfaces
Foot and Leg Protection
General Body Protection
Hands & Arm Protection
Hazardous Materials Controls
Head Protection

Hearing Protection
Incentives, Award Plans
Industrial Hygiene
Overhead Safety
Personnel Testing Services
Plant Operations Equipment
Plant Protection Security
Publications
Regulatory Compliance
Respiratory Protection
Safety Management
Services to Professionals
Traffic Control Devices
Vehicle Alarms/Mirrors

5b - List companies you would prefer to be located AWAY FROM:


6 - Upon submission of this application, the applicant is entering into a contract on behalf of his company/organization and warrants that he/she has the authority to enter this contract. This contract shall not be binding unless and until it is accepted and approved by ASSE Professional Development Conference Committee. Acceptance of this application constitutes a contract. The applicant acknowledges by entering his/ her name and accompanying contact information constitutes agreement and expressed intent to uphold the contract and the terms and conditions listed thereto. When accepted by Show Management a confirmation will be sent to your attention. The rules and regulations hereof shall constitute part of this contract and the exhibitor agrees to have read, abide and conform thereto. Exhibitor agrees to receive materials by fax, email, and U.S. Mail from ASSE and its representatives/agents. (*Required Field)
*Name of Applicant
*Applicant's Title
*Date
   

WE RECOMMEND THAT YOU PRINT THIS SCREEN FOR YOUR RECORDS BEFORE SUBMITTING THE FORM.