Vendor Information  
Loren Marshal Foundation
2008 Resuscitation
Conference - Anchorage, Alaska
June 6th - 8th,  2008

 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 May15, 2008, 25% of total due will be retained by the LMF
Ÿ        
No refunds will be made after May 15, 2008

Exhibit Fees

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

Send checks made out to Loren Marshal Foundation (or LMF) to:
Valerie DeFrance
Loren Marshall Foundation
28204 Hope Hwy
Hope, Alaska 99605

 PayPal Payment  
You  DO NOT need a PayPal account to pay for your registration online with a credit card. They simply process our credit card transactions and it is completely secure. 
See "Don't have a PayPal account" option on left of PayPal page to pay directly with credit card. 
You may also pay with your own PayPal account using this form. Simply sign in with your own user and password.

After printing, completing and mailing this form, use the Pay Now button to make your payment with any major credit card OR enclose your check with this form.

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

FAX (907) 782-3144  (Anchorage Bowl local call)