Vendor Information  
Loren Marshal Foundation
2010 Resuscitation Conference 
Captain Cook Hotel
Anchorage, Alaska
May 6th - 8th,  2010

 Company __________________________

Contact Name: ______________________
Title: ______________________________
Address: ___________________________
City: ______________________________
State: _____________________________
Direct Phone: _______________________
Fax:_______________________________
Web Site: __________________________
Email: _____________________________

Authorized Signature

___________________________________

The signature above acknowledges receipt and agreement to abide by all rules and regulations under which the exhibit space is leased

 For other sponsorship options and for vendors wishing to rent exhibit partitions/panels, contact Valerie at address at right.

 Contract and Payment Policy  
Ÿ         Exhibit space will not be held without a completed and signed vendor agreement form
Ÿ         Full payment is due at the time the application is made
Ÿ         Space is assigned on a first-come, first-served basis.
Ÿ         The LMF will assign exhibit space based on availability and with the vendor’s choice whenever possible

Cancellation Policy

Ÿ         If written cancellation is received by May1, 2010, 25% of total due will be retained by the LMF
Ÿ         No refunds will be made after May 1, 2010

Exhibit Fees

Exhibit space, two chairs, and 8” clothed table = $1,000

Send checks made out to Loren Marshal Foundation (or LMF) to:
Loren Marshall Foundation
POB 191001
Anchorage, Alaska 99519

Method of Payment

__  Check or Money Order Payable to the Loren Marshall Foundation

__  VISA

__  MasterCard

Card # _____________________________

 Exp Date:___________________________

 Amount to Charge: $__________________

 Name as it Appears on Card:

___________________________________

 Authorized Signature

___________________________________

Questions:
Valerie DeFrance
(907) 720-0911   (907) 782-3174 (urgent) 
Monday through Thursday, 0800-1700 AST