Prospectus

22 | Call Sales at +1 813.769.1842. CONTACT INFORMATION (please type or print clearly) Full company name (as you would like it to appear) Order date BICSI Corporate Member? q Alliance q Elite q Elite Plus Address City State/Province Zip/Postal code Country Website Company phone number Company toll-free number PRIMARY BOOTH CONTACT (to receive all exhibitor mailings) Title Authorized Signature Work number Mobile number Email SECONDARY CONTACT Title Work number Mobile number Email PAYMENT SECTION Please submit front and back of this form for processing. Please make all checks payable to BICSI in U.S. dollars, drawn from a U.S. bank. (Call BICSI's Accounting Department for instructions on wiring funds.) For your protection, BICSI does not accept emailed credit card numbers. If paying by credit card, please mail or fax your payment information instead. Cardholder name (as it appears on the credit card) Cardholder signature Credit card number Expiration date CVV Billing zip code (required) WE AGREE UNCONDITIONALLY TO THE FOLLOWING TERMS: 1. If signing up on site at the 2020 Winter Conference or by 27 March 2020, a 25% non-refundable deposit for each show is required. Remaining balances are due: Winter, by 9 October 2020; ICT Canada, by 8 January 2021; Fall, by 9 April 2021. If signing up after 27 March 2020, a 100% payment is due for Winter; 50% non-refundable deposit for ICT Canada and/or Fall; Remaining balances are due on dates listed above or full payment is due if the dates listed above have passed. 2. Booth assignments will be made using a lottery system for all applications received and paid in full by the Early Bird deadline. After the deadline, assignments will be made on a first-come, first-served basis. 3. We understand, agree to and will abide by the terms and conditions outlined in the 2021 BICSI Conference & Exhibition Rules and Regulations AND the Exhibitor Contract found in the 2021 BICSI Exhibitor Prospectus. Exhibiting companies agree to maintain such insurance that will fully protect BICSI from any and all claims of any nature whatsoever, including claims under the Worker's Compensation Act, and for personal injury, including death which may arise in connection with the installation, operation, or dismantling of the exhibitor's display. Exhibiting companies are required to add on to their existing insurance portal-to-portal rider at a nominal cost, protecting them against the loss damage to their materials by fire, theft, accident or other related loss. CONTACT BICSI Mail or fax this form to: BICSI, Attn: Courtney Nalls, 8610 Hidden River Parkway, Tampa, Florida 33637-1000 USA Fax: +1 813.971.0286; Phone: 800.242.7405 (USA & Canada toll-free) or +1 813.769.1842; Email: cnalls@bicsi.org; Web: bicsi.org Authorized signature Title Date + Winter $ + ICT Canada $ + Fall $ = Total $ BICSI CARES CONTRIBUTION Would you like to make a tax deductible corporate donation to the BICSI Cares charity being supported at the conference(s)? If so, please check for which conference(s) and include your donation amount. Charity details will be posted to the conference website once a charity has been selected. q Winter Donation $ q Canada Donation $ q Fall Donation $ q Please contact me with more information. Authorized signature Date q Check or Money Order q Visa q MasterCard q American Express q Discover

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