100th Thomas P. Hinman Dental Meeting
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Booth Space Applications
If you are a returning exhibitor - Please log in using your password.  Click here to login (if you have not already done so) first to have your company information prepopulated for your convenience.

If you are a first time exhibitor - Scroll down to proceed with the Booth Space Application.

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Application List
 
 

Add Application

Company Information
Any pre-populated fields cannot be changed.  Email us if you need to change any of the contact information below.
CompanyID
Company Name
Primary Contact First Name
Primary Contact Last Name
Exhibiting As
Address Line 1*
Address Line 2
City*
Select a State/Province*
Zip*
Select a Country*
Phone*

Fax

Company URL
Contract Information
Contract Date
Exhibiting Name if different from Company Name
Contact Name
Booth Dimensions *  x 




Booth Area Requested *  sq. ft.

Are you interested in reserving a 12x15 Conference Room?

Distribution Focus
Exhibitor Opportunities
Special Instructions
Booth configuration

Deposit Amount $

Total Cost of Space

This does not include corners and upgrades.  Final Invoice will be sent upon booth assignment.

 		$
Booth Choices - Click here to view the floor plan, which will open in a new window.
1 Choice
2 Choice
3 Choice
4 Choice
5 Choice
6 Choice
Will you be displaying a hanging sign? (Permitted only for peninsula and island booths.)
For booth location, which takes priority?
Would like to be away from
Company     
Company     
Would like to be near
Company     
Company     

Payment Information
Booth Rate: $25.35 per square foot/ $2,535 per 10'x10'
Premium Open Corner Fee: $250 USD per open corner
Island Surcharge: There is an Island Surcharge of $2,535 per 10’ x 10’ booth eliminated to create the island configuration.
Conference Room: $2,535 per 12'x15'. Conference room availability is limited and is open only to confirmed exhibitors who have purchased a booth on the exhibit hall floor
Method of Payment*
Select Card Type*
Name
(as it appears on the Credit Card)*
Card Number* (numbers only)  
CSV Code*
Expiration Date* (mmyy)

By checking the box, you agree to abide by the HDSA 2012 Rules & Regulations

** If you have submitted successfully, the page will refresh and you will be taken to the top of the screen, where you can print a summary of your application.  If this does not happen, please scroll up to ensure that you have completed all required fields.

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