Print
this form, complete, and either fax to 831-401-2655 or mail to:
The Healing Music Organization, PO Box 1388, Felton, CA 95018
Company
Name: _________________________________________________________________ Contact Person: _________________________________________________________________ Street Address: _________________________________________________________________ City: ___________________ State: ________ Zip:
_________ Country: ____________________
Exhibitor Requests:
Exhibit Table Space
$450 Please
designate location preference (see exhibit map)
1st
Choice: Monte Carlo Room Table No.
____ Lobby Table No. ______
2nd Choice: Monte Carlo Room Table No.
____ Lobby Table No. ______
Conference
Bookstore 60/40 split of gross sales Advertising
Requests:
Publication/Literature
Table $50 per item
Registration Packet Inserts: $100 per item
Symposium
Program Advertising:
Size/Location
Non-booth
Rate
Discount
for Booth Rental
Inside
Front Cover
(not
available)
(not
available)
Inside
Back Cover
$600
$480
Full
Page (7" x 10")
$450
$360
Half
Page (7"x5")
$300
$240
Quarter
Page (4"x5")
$175
$125
Line
Listing in Program
No
Charge
No
Charge
Full
payment is required to hold all above requests except conference bookstore.
Total
Due: $_______________
Payment Options: Visa
Mastercard
Check
Money Order
Card No: __________________________________
Expiration Date: ________________________
Name on Card: ________________________ Signature: __________________________________
Credit Card Billing Address: ________________________________________________________
Please observe all timelines and schedules for payment
and receipt of materials. A confirmation letter will be mailed to
you upon receipt of registration form and payment.
Please
make all checks payable to: The Dove Health Alliance, 430 Cliff Drive,
Aptos, CA 95003