Musculoskeletal Tumor Society

Exhibit Space Application Form

* Deadline: April 1, 2005 *

2005 Annual Meeting
Nashville, Tennessee
May 19-21, 2005

* Denotes Required fields
Company Name:	*
Exhibit Contact:	*
Phone:	*
Fax:	*
Email:	*
Address:	*

City:	*
State:	*
Zip:	*
Country:	*
Exhibit space is limited and will be reserved on a first-paid, first-served basis.
1. Our Company will present the following items:


2. Please reserve:
	one 6-foot table at $2,500.00
	two 6-foot tables at $3,000.00
Exhibit fees include: one (or two) six-foot tables, fees for 2 company representatives, 2 chairs, wastebasket, program and abstract book including the MSTS Membership Directory. If you would like to include additional representatives, other than the two included with the table(s) purchase, they must register separately on the additional representative form and each pay a fee of $500.00. Exhibitor assumes responsibility and agrees to indemnify and defend the Musculoskeletal Tumor Society and the Hilton Suites - Downtown Nashville and their respective employees and agents against any claims or expenses arising out of the use of the exhibition premises. The Exhibitor understands that neither the Musculoskeletal Tumor Society nor the Hilton Suites - Downtown Nashville maintain insurance covering the Exhibitor’s property, and it is the sole responsibility of the Exhibitor to obtain such insurance. The exhibitor agrees to comply with the MSTS policy on FDA clearance and agrees to display signage indicating FDA status.
Representative #1:		*	will attend
Representative #2:		*	will attend
Terms: Exhibit space will not be reserved until Exhibit fees are paid in full in U.S. funds. Completed application and payment must be received by April 1, 2005. Cancellations must be received in writing by April 19, 2005 and are subject to a $100.00 fee. After April 19, 2005, no refunds on Exhibit fees will be made.


	Total Exhibit Space Fees Enclosed:	*

Unrestricted Educational Grant Opportunities are available at the following levels:
	Gold Level	$25,000
	Silver Level	$15,000
	Bronze Level	$5,000
	Friend of the Musculoskeletal Tumor Society	$4,999 or less

	Total Support:

Payment Information

CREDIT CARD PAYMENTS CANNOT BE ACCEPTED

Make checks payable to: MSTS

Mail payment to: MSTS, Attn: Marla Holderby, c/o VUMC, D-4216 MCN, Nashville, TN 37232-2550

Refunds: The MSTS office must receive written notification of cancellation by April 19, 2005 for a refund less a $100.00 cancellation fee. No refunds after April 19, 2005.

Please check if you require ADA accommodations or special services such as vegetarian or kosher meals.