DIRECTED ENERGY PROFESSIONAL SOCIETY


 Annual Directed Energy Symposium Exhibit Application
26-30 November 2012 Albuquerque, New Mexico

Thank you for your support of DEPS activities. This form should be used to submit an application to exhibit at the 15th Annual Directed Energy Symposium to be held 26-30 November 2012 in Albuquerque, New Mexico. Exhibit spaces are 8x10 foot and include a 6 foot table, two chairs, and a trash can. Note: electricity is not included with these exhibit spaces. However, electricity and other services will be obtainable from our convention services firm. Contact Cynnamon at cynnamon@deps.org for information.

Price per space is $2200 for DEPS Sponsors, $2500 for non-sponsors. Two spaces can be purchased for double the price. Each exibit space includes two complimentary registrations: one full registration and one exhibit-only registration. Multiple methods of payment are offered, including using our secure server to pay on-line at this time.

This form may also be used by exhibitors that have already submitted an application but need to supply additional information to DEPS or purchase additional exhibit-only registrations.

In addition to the required items, shown with asterisks, please supply all requested information that is relevant to your use of this form.

   
General Information *
This information, as well as Company Name, is required with each submission of this form.
 
Your Name:
Your E-mail Address:
E-mail (confirm):
  To reduce errors, we ask that you enter your email a second time.
 
Application Type: Initial exhibit application
Supplying additional information for prior application.
   
Company Information
Complete this section as it should appear in our Exhibitor's Guide. Note: this information must be submitted prior to Monday, 5 November to guarantee its inclusion in the Exhibitor's Guide.
 
Company Name: *
Address:
City:
State :
Zip code:
Country:
Phone:
Website:
 
Contact Name:
Phone:
E-mail:
 
Please enter a short description of your organization.

Note: If you have a company logo you'd like to have included, please email it to office@deps.org
 
Exhibit Space Selection
If this is your initial application, you must indicate your sponsorship status and select your desired exhibit size.
Is your organization a DEPS Sponsor?   Yes    No     Note: You are a sponsor only if your company name is shown here as a current sponsor.

    Single Exhibit Space ($2200 DEPS sponsors, $2500 non-sponsors)
    Double Exhibit Space ($4400 DEPS sponsors, $5000 non-sponsors)
 
Administrative Contact for Exhibit
First & Last Name:
Title:
Address:
City:
State:
Zip code:
Country:
Phone:
E-mail:
 
Each exhibit space includes one complimentary full symposium registration and one complimentary exhibit-only registration. Please identify these two individuals below, completing all requested information.
Note: if you have purchased a double exhibit space, you will need to use this form a second time to specify the other two complimentary registrations.
 
First Complimentary Registrant Data
This registrant will receive a complimentary full-symposium registration, granting access to all meeting sessions and events.
 
   Please check here if this is a change in personnel for the complimentary full-registration.
        Note: Changes to exhibit staff can be made at no cost through 16 November. Changes after 16 November will incur a $75 change fee.
 
First & Last Name:
Name for badge:
Organization:
 
Address:
City:
State:
Zip code:
Country:
Phone:
E-mail:
 
   Please check here if this registrant requires special assistance
 
Release of Information:
Registrant's personal information may be included on the attendees list, or
Only registrant's name and organization should be included on the attendees list, or
Registrant's information should not appear on the attendees list.
 
Planning Information
Note: Answers to the following questions do not imply a commitment; however, they are needed for planning purposes.
Will this registrant be attending classified sessions?   Yes    No   
Will this registrant be attending limited distribution sessions?   Yes    No   
   If yes, please see instructions for submitting your visit request
 
Second Complimentary Registrant Data / Additional Exhibit-Only Registrants
This registrant will receive an exhibit-only registration which covers all catering but no technical sessions or benefits. You may upgrade your complimentary exhibit-only registration to a full registration for payment of an additional fee. This section can also be used to purchase additional exhibit-only registrations for your company.
This is the complimentary exhibit-only registrant
      ( Check here to upgrade to full registration for $435.)
This is an additional exhibit-only registrant.
Exhibit-Only Registration Fees
Through 29 Oct Through 22 Nov On-site
$400 $475 $525
 
   Please check here if this is a change to staff previously submitted in this section of the form (no fee)
        If yes, please provide name of the staff member who being replaced:
        Note: Changes to exhibit staff can be made at no cost through 16 November. Changes after 16 November will incur a $75 change fee.
 
First & Last Name:
Name for badge:
Organization:
 
Address:
City:
State:
Zip code:
Country:
Phone:
E-mail:
 
   Please check here if this registrant requires special assistance
 
Release of Information:
Registrant's personal information may be included on the attendees list, or
Only registrant's name and organization should be included on the attendees list, or
Registrant's information should not appear on the attendees list.
 
Planning Information
Note: Answers to the following questions do not imply a commitment; however, they are needed for planning purposes.
These questions are applicable only in the case where the complimentary exhibit-only registration has been upgraded to a full registration.
Will this registrant be attending classified sessions?   Yes    No   
Will this registrant be attending limited distribution sessions?   Yes    No   
   If yes, please see instructions for submitting your visit request
 
Options
You can include a note for DEPS personnel here if needed.
 
Click here if you are interested in hosting a catered event at the Symposium

Click here if you are interested in obtaining a hospitality suite at the Symposium
 
Payment Information
If your request has a fee associated with it (e.g., initial exhibit request, upgrading complimentary or purchasing additional exhibit only registrations), please indicate your method of payment.
    Submit credit card payment at this time using our secure server
    Send payment to DEPS
 
Cancellation Notice
Exhibitors requesting cancellation through 29 October will receive a full refund. Cancellations after 29 October are subject to a $200 cancellation fee. No refunds will be given after 12 November.

Please note that DEPS reserves the right to refuse any exhibit application.

Once you have completed the fields on this form, press the Submit button to process this information. You will be given a chance to review your registration prior to final submission. The Reset button will clear the entire form.

     

 
Copyright 2012 Directed Energy Professional Society   DHTML/JavaScript Menus by OpenCube

Last updated: 27 January 2012