<p> ORANGE COUNTY PODIATRIC MEDICAL ASSOCIATION’S 14th ANNUAL ADVANCEMENTS IN FOOT & ANKLE SURGERY SEMINAR EXHIBIT SPACE APPLICATION TODAY’S DATE </p><p>DATE OF SEMINAR – Saturday, October 24, 2015 LOCATION – Huntington Beach Hyatt Regency 21500 Pacific Coast Highway, Huntington Beach, CA 92648</p><p>COMPANY NAME </p><p>ADDRESS </p><p>TELEPHONE FAX Email </p><p>CONTACT PERSON AT SEMINAR(Print) </p><p>SIGNATURE </p><p>PRODUCT OR SERVICES TO BE EXHIBITED </p><p>ELECTRICAL OUTLET REQUIRED – (YES____) (NO____)</p><p>EXHIBIT HALL LOCATION/ROOM – HUNTINGTON NORTH; Space #______</p><p>EXHIBIT HOURS - 7:00AM – 3:00PM, SATURDAY, October 24, 2014 SET UP TIME – 6:00AM – TEAR DOWN – 3.00PM *Space can only be held with 50% deposit.* Please process exhibit fee payment with exhibit number in full for exhibit space (see page 2 for exhibit pricing) by APRIL 15, 2015 . Checks should be made payable to OCPMA, tax ID 95-3274013. MasterCard and Visa are accepted with a $35 administrative fee.</p><p>Application and full payment should be addressed to the following: Orange County Podiatric Medical Association 491 S. Paseo Estrella Anaheim Hills, CA 92807 (FAX #: 714-280-0122) (Phone-714-280-0222)([email protected]) **FOR EXHIBITOR REGISTRATION PLEASE INCLUDE EMAIL ADDRESS** Page 2</p><p>EXHIBIT SPACE PRICES:</p><p>1-16=$1500; 17-21=$2000; 22-35=$1700 </p><p>PLEASE NOTE: THE HOTEL WILL COLLECT PAYMENT FOR SHIPMENTS WHEN DELIVERING THEM TO YOUR BOOTH/ROOM THE DAY OF THE EVENT. IF PREFERRED YOU CAN PREPAY THESE CHARGES BY CALLING CHERYL MARTIN/HYATT @714- 845-4648 ONCE SHIPMENT HAS BEEN RECEIVED BY HOTEL: (Boxes will not be released w/o payment) Box = $10/each Display Case/Show Crate = $35/each Pallet = $175/each</p><p>SHIPMENTS MUST BE LABELED AS FOLLOWS:</p><p>Catering/Cheryl Martin Hyatt Regency Huntington Beach Resort & Spa 21500 Pacific Coast Highway Huntington Beach, CA 92648</p><p>14th Annual Advancements in Foot & Ankle Surgery Seminar YOUR CONTACT NAME/COMPANY October 24, 2015 Box of TOTAL # OF BOXES = Room – HUNTINGTON NORTH-SPACE #: </p><p>PACKAGES CANNOT BE SENT EARLIER THAN 3 DAYS PRIOR TO EVENT THERE ARE NO EXCEPTIONS!</p><p>EXHIBIT TIME SET UP 6:00AM – PROGRAM BEGINS AT 7:30AM TEAR DOWN 3:00PM</p><p>ALL EXHIBITOR/SPONSOR SHIPMENTS MUST BE LABELED WITH PREPAID LABEL FOR PICKUP AT TEAR DOWN-BY 3:00PM.</p><p>3. INTERNET ACCESS IS AVAILABLE AT $500/DAY AND MUST BE PRE- ARRANGED with the hotel.</p><p>Cancellations: No refunds available unless space is sold or transferred to another exhibitor/sponsor acceptable to OCPMA. It is agreed that exhibitors shall assume all responsibility for damages to the exhibit area and they shall indemnify and exempt the Orange County Podiatric Medical Association.</p>