Spring - Arkansas Health Care Association · • Membership Certificate – Associate Members will receive a Certificate of Membership to display upon approval by the AHCA Board of

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1401 W. Capitol Ave, Suite 180Little Rock, AR 72201Phone: 501-374-4422

Fax: 501-374-1077www.arhealthcare.com

Spring Convention Spring

Convention Spring

Convention and Trade Show and Trade Show and Trade Show

April 24-26, 2018

Vendor Packet

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Exhibitor’s Agenda & Information

Exhibit Hall: Hot Springs Convention Center

Theme: It’s an 80s Party – Don’t Stop Believin’ in Quality Care

Set Up: Monday, April 23th 11:00 a.m. – 5:00 p.m. Tuesday, April 24th 7:00 a.m. – 11:00 a.m.

State Queen Pageant: Tuesday, April 24th 11:30 a.m. – 1:00 p.m. This event will be held during lunch in Horner Hall. Vendors are encouraged to attend! Sponsors may attend at no additional cost. Associate Members and Non-Member vendors

may purchase pageant tickets for $50 apiece.

Exhibit Hours: Tuesday, April 24th 2:00 p.m. – 5:00 p.m. Wednesday, April 25th 10:00 a.m. – 2:00 p.m.

Move Out: Wednesday, April 25th 2:00 p.m. – 5:00 p.m.

Booths may not be dismantled prior to the closing of the show.

Enclosures:• Exhibitor’s Agenda & Information• Rules & Regulations• Booth Contract• Floor Plan• Sponsorship & Associate

Membership Information• Hot Springs Convention Center Electric,

Phone & Plumbing Order Form• Southwest Design & Display Order Forms

Thank you for your interest in the AHCA / AALA Trade Show. Our Association represents more than 90% of all long term care facilities in Arkansas. This is the largest annual event for long term care professionals in the state. Exhibitor booths have notoriously sold out in years past! This year’s theme is 80s! We encourage vendors to use your imagination in planning both your attire and booth decorations to reflect the 80s theme.

FAQ’s:Who attends this meeting? Management and Staff of Arkansas’ Skilled Nursing Facilities, Assisted Living Communities, ICF/MRs, and Residential Care Facilities. In 2017, we hosted more than 1,000 attendees and vendors combined. How is booth placement determined? Sponsors and Associate Members have first choice. Booth placement is prioritized in the following order: Diamond, Platinum, Gold, Silver, Bronze, Copper, Associate Members, and Non-Member vendors.

For more information, please contact

Cat Hamilton, Director of Member Services. Phone: (501) 374-4422 or (870) 215-8435

Email: [email protected] is also available at

www.arhealthcare.com

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Contract for Space: Booth reservations will be confirmed only upon receipt of payment. Exhibitors agree to submit full payment with Trade Show Booth Contract. No cancellation of space contract will be accepted or refunds made after April 1, 2018. Exhibitors agree to abide by all requirements, restrictions, and obligations explained in the promotional material. It is understood that all requests to exhibit are subject to the approval of AHCA. Exhibitors agree to release, defend and hold harmless AHCA and their agents and employees from and against any and all losses, cost, damages, liability, or expenses (including any attorney’s fees) arising out of or resulting from any accident, bodily injury, property loss, or damage / potential damage of the occurrences to any person or persons including the exhibitor’s use and occupancy of the exhibit area at the Hot Springs Convention Center or any part thereof. Installation and Dismantling: Exhibitors who do not occupy their booths as of 11:00 a.m. on the first show date, Tuesday, April 24, 2018, will forfeit their right to exhibit and will not be eligible for a refund. Booths may not be dismantled prior to the closing of the show on Wednesday, April 25, 2018. Price of Booth: See Trade Show Booth Contract on page 4. Booths: See Trade Show Floor Plan on page 6. Each space will be 10' x 10' in size. Each booth will be draped and equipped with two chairs, a covered table and a company sign (maximum 27 letters). Two complimentary registration fees for booth personnel are included with the cost of one 10' x 10' booth. All additional representatives must register at the regular vendor registration rate, $200 per person. Extra Equipment will be available from the decorator, Southwest Design & Display. Only the aisles will be carpeted by AHCA / AALA. Exhibitors may order accessories from Southwest Design & Display including booth carpet, extra tables, trash cans, freight handling, plants, etc. Order Forms are contained in this packet on pages 11 – 17. Utilities: A standard electric outlet (125 volts) is included with each booth. Vendors requiring additional electricity or other phone, internet, or plumbing services must order directly from the Hot Springs Convention Center. An Order Form is contained in this packet on page 10.

Registration: Everyone must be registered and have a badge to enter the Exhibit Hall. For your own safety, there can be no exceptions. Advance registration for booth personnel is encouraged. See Trade Show Booth Contract on page 4. Shipping: See Freight Handling Order Form on page 13. All shipments must be sent to Southwest Design & Display. The Hot Springs Convention Center DOES NOT accept shipments. Use of Space: All activities and exhibit materials must be confined to the limits of the exhibit booth. No exhibitor shall assign, sublet, or share space without the written consent of AHCA. The Hot Springs Convention Center DOES NOT allow helium balloons. Neither exhibitors nor their agents shall injure or deface the walls or floors of the building or booths. Should such damage occur, the exhibitor is liable to AHCA and the Hot Springs Convention Center for any and all repairs. Door Prizes: Exhibitors are permitted to have door prizes. AHCA will draw for ONE door prize per exhibitor on Wednesday during the trade show. Exhibitors should bring the completed Door Prize Description Card (contained in Exhibitor Packet) and container of door prize entries to the trade show stage. AHCA will read the Door Prize Description Card and draw a name from Exhibitor’s container. If Exhibitor chooses to not collect door prize entries, AHCA will draw a name from AHCA’s squirrel cage. Each winner will receive the Door Prize Description Card from the stage and should return Card to Exhibitor to claim prize. Exhibitors ARE NOT permitted to draw their own winner and have it announced from the stage. Exhibitors who choose to draw their own winner are responsible for contacting the winning individual. Exhibitor Packets: Upon arrival, each exhibitor will receive an exhibitor packet containing: 2018 Director of Arkansas Long Term Care Facilities & Buyers Guide, name badges, convention agenda, a list of facilities attending convention, and a Door Prize Description Card.

Rules & RegulationsPlease Read All Exhibit Rules & Regulations

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Booth reservations will be confirmed only upon receipt of payment. We agree to submit full payment with this Trade Show Booth Contract. No cancellation of space contract will be accepted or refunds made after April 1, 2018. We agree to abide by all requirements, restrictions, and obligations explained in the promotional material. It is understood that all requests to exhibit are subject to the approval of AHCA. Exhibitors agree to release, defend and hold harmless Arkansas Health Care Association and their agents and employees from and against any and all losses, cost, damages, liability, or expenses (including any attorney’s fees) arising out of or resulting from any accident, bodily injury, property loss or damage / potential damage of the occurrences to any person or persons including the exhibitor’s use and occupancy of the exhibit area at the Hot Springs Convention Center or any part thereof.

Signature: Date:

Please return completed contract with payment to Cat Hamilton at AHCA. Mail: 1401 W. Capitol Ave., Suite 180, Little Rock, AR 72201 | Fax: (501) 374-1077 | Email: [email protected]

TRADE SHOW BOOTH CONTRACTExhibit Dates: April 24 – 25, 2018

Location: Hot Springs Convention Center Hot Springs, Arkansas

Contact: Cat Hamilton Director of Member Services [email protected] (501) 374-4422 or (870) 215-8435

Associate Member Pricing: $830 – 10' x 10' Booth, 2 attendees

$2,030 – End Cap Booth, 2 attendees(10' x 20' booth at end of aisle)

Non-Member Pricing:

$2,250 – 10' x 10' Booth, 2 attendees $3,450 – End Cap Booth, 2 attendees

*a standard electrical outlet is included with all booths

Name of Company:

Contact Person: Tax ID:

Mailing Address:

City: State: ZIP:

Phone: Email:

Product / Service to be exhibited:

Prefer not to be located near the following company:

Name of 1st attendee: (complimentary with booth)

Name of 2nd attendee:(complimentary with booth)

Name of 3rd attendee:(additional name badge, $200 per person)

Name of 4th attendee:(additional name badge, $200 per person)

Payment: o Check #: o Visa o MasterCard o AmEx o DiscoverCC#: V-Code: Exp. Date: Billing Address: City: State: ZIP: Email receipt to:

AHCA USE ONLYBOOTH # DATE CONFIRMED: BY:

# of Booths: ________________

Cost Per Booth: _________________

Extra Name Badges: _________________($200 per person)

# of State Queen Pageant Tickets: ______($50 per ticket)

TOTAL: _______________

Booth(s) Requested:1st choice: 2nd choice: 3rd choice: 4th choice:

Sponsors & Associate Members Have First Choice of Booth Placement

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Associate MembershipABOUT AHCA /AALAEstablished in 1951, Arkansas Health Care Association (AHCA) is the state’s largest organization of long term care providers, representing skilled nursing facilities in Arkansas. Partnered with the Arkansas Assisted Living Association (AALA), that represents assisted living facilities and residential care facilities, AHCA & AALA represent over 90% of all long term care facilities in Arkansas. AHCA /AALA is the voice of quality long term care in Arkansas.

ABOUT ASSOCIATE MEMBERSHIPAssociate Membership allows organizations that supply goods and/or services to long term care facilities to be Members of AHCA /AALA. Applications must be approved by the AHCA Board of Directors. New Associate Members must be sponsored by a Member Owner or Administrator in good standing. Associate Membership costs $750 per calendar year; fees must be paid in full at the time of the application.

BENEfITS Of ASSOCIATE MEMBERSHIP• Spring Convention & Trade Show - Associate Members receive a reduced Trade

Show Booth fee and are listed as a Member Exhibitor in the Convention Agenda.• Annual Directory & Buyers Guide – Associate Members receive a complimentary

copy of the 2018 Directory of Arkansas Long Term Care Facilities & Buyers Guide and will be listed in the directory as an Associate Member. Associate Members also have the opportunity to purchase advertising space in the directory.

• Member Communication – Associate Members are included on the AHCA/AALA membership mailing list to be notified of meetings and conventions sponsored by AHCA/AALA throughout the year, as well as our printed publication and eNewsletter.

• Conventions & Seminars – Associate Members may attend any of our educational seminars, workshops and conventions at the Member rate.

• Membership Certificate – Associate Members will receive a Certificate of Membership to display upon approval by the AHCA Board of Directors upon approval of the Board of Directors.

SPONSORSHIPThe Association also offers a sponsorship program for organizations that supply goods and/or services to long term care facilities. Levels of sponsorship range from $2,500 - $50,000 per calendar year. All levels of sponsorship include Associate Membership and a booth at the Trade Show.

For more information or questions, contact Cat Hamilton, Director of Member Services, at 501.374.4422 or email [email protected].

1401 W. Capitol Avenue, Suite 180 | Little Rock, AR 72201 | (501) 374-4422 | www.arhealthcare.com

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2018 Associate Membership Application


CONTACT INfORMATION:(This information will be printed in the AHCA/AALA Directory & Buyers Guide if received by deadline.)

Company Name:

Company Address:

City, State, Zip:

Phone: Fax:

Website:

Contact Person & Title: Email Address:

Your social media names you would like us to include:

Description of your Company’s products or services:

Tax ID:

o Associate Membership Renewal for 2018 o New Associate Membership Application (New members must be sponsored by a Member.)

Sponsor Name:

Signature of Applicant

Date

ADDITIONAL CONTACTS:1. Contact Name: Cell Phone: Email Address: Address (if different):

2. Contact Name: Cell Phone: Email Address: Address (if different): 3. Contact Name: Cell Phone: Email Address: Address (if different):

PLEASE RETURN fORM TO: Arkansas Health Care AssociationAttn: Cat Hamilton1401 W. Capitol Avenue, Suite 180Little Rock, AR 72201

[email protected] | fax: (501) 374-1077

*Must be received no later than 2/9/18 to be listed in the AHCA/AALA Directory & Buyers Guide.

PAYMENT ($750 per calendar year)o Check o Visa o MasterCard o American Express

Name on card: CC#: - - - V-Code: Exp. Date: Billing Address: City: State: ZIP: Signature: Email Credit Card Receipt to:

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SPONSORSHIP PROGRAM BENEfITSAll sponsorships include the annual Associate Membership dues ($750).

• 20' x 30' booth with banner• Registration fees for 12• AHCA sponsored door prize drawing, value of $1,000• Unique banner in Trade Show booth indicating level of Sponsorship• Recognition in convention agenda• Logo on Trade Show bags• Opportunity to provide promotional item to attendees that will be

stuffed in convention bags• Invitation to Owner/Sponsor reception on April 23, 2018• Name badge ribbons designating level of support• Logo on hotel room key cards

• 4 10' x 10' booths with banner• Registration fees for 8• AHCA sponsored door prize drawing, value of $250• Unique banner in Trade Show booth indicating level of Sponsorship• Recognition in convention agenda• Logo on Trade Show bags• Opportunity to provide promotional item to attendees that will be

stuffed in convention bags• Invitation to Owner/Sponsor reception on April 23, 2018• Name badge ribbons designating level of support

• 2 10' x 10' booths with banner• Registration fees for 4• AHCA sponsored door prize drawing, value of $150• Unique banner in Trade Show booth indicating level of Sponsorship• Recognition in convention agenda• Logo on Trade Show bags• Opportunity to provide promotional item to attendees that will be

stuffed in convention bags• Invitation to Owner/Sponsor reception on April 23, 2018• Name badge ribbons designating level of support

• 1 10' x 10' booth with banner • Registration fees for 2• AHCA sponsored door prize drawing, value of $100• Unique banner in Trade Show booth indicating level of Sponsorship• Recognition in convention agenda• Invitation to Owner/Sponsor reception on April 23, 2018• Name badge ribbons designating level of support

• 1 10' x 10' booth with banner• Registration fees for 2• AHCA sponsored door prize drawing, value of $50• Recognition in convention agenda• Invitation to Owner/Sponsor reception on April 23, 2018• Name badge ribbons designating level of support

• 1 10' x 10' booth with banner• Registration fees for 2• Recognition in convention agenda• Invitation to Owners/Sponsor reception on April 23, 2018• Name badge ribbons designating level of support

• Invitation for 6 to annual AHCA/AALA Sponsor Appreciation Dinner on February 20, 2018

• Invitation for 6 to AHCA/AALA Fall Conference & Caregiver Awards Celebration

• Name on signage at AHCA/AALA events• Opportunity for 10-minute presentation at

board meetings• Invitation to host lunch and present to classes• Invitation to sponsor speaker at AHCA/AALA

Spring Convention and/or Fall Conference




board meetings• Invitation to host lunch and present to classes




board meetings• Invitation to host lunch and present to classes



• Name on signage at AHCA/AALA events• Invitation to host lunch and present to classes



• Name on signage at AHCA/AALA events


• Name on signage at AHCA/AALA events

• Full-page tab ad in AHCA/AALA Directory & Buyers Guide

• Recognition in AHCA/AALA eNewsletter• Recognition in monthly Board Packet• Recognition in AHCA/AALA magazine• Link to Sponsor on website

• Full-page ad in AHCA/AALA Directory & Buyers Guide


• Full-page ad in AHCA/AALA Directory & Buyers Guide


• ½ page ad in AHCA/AALA Directory & Buyers Guide


• 1/3 page ad in AHCA/AALA Directory & Buyers Guide


• ¼ page ad in AHCA/AALA Directory & Buyers Guide


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SPRING TRADE SHOW ADVERTISINGEDUCATION &

AHCA / AALA EVENTS

Other Notes: Sponsors may attend AHCA/AALA sponsored events and classes at AHCA/AALA Member rate.

All Sponsors are welcome to attend monthly board meetings held on the third Tuesday of each month. Meetings are at 10:00 a.m. at the Association office unless otherwise planned.The AHCA/AALA Sponsor Appreciation Dinner on February 20, 2018, and AHCA/AALA Owner/Sponsor reception on April 23, 2018, are by invitation only and are not ticketed events.

Sponsors may purchase additional advertising space in the annual directory for a fee.

For more information or questions, contact Cat Hamilton, Director of Member Services, at 501.374.4422 or email [email protected].

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2018 Sponsorship Application


CONTACT INfORMATION:(This information will be printed in the AHCA/AALA Directory & Buyers Guide if received by deadline.)

Company Name:

Company Address:

City, State, Zip:

Phone: Fax:

Website:

Contact Person & Title: Email Address:

Your social media names you would like us to include:

Description of your Company’s products or services:

Tax ID:

o Sponsorship Renewal for 2018 o New Sponsorship Application (New members must be sponsored by a Member.)

Sponsor Name:

Signature of Applicant

Date

ADDITIONAL CONTACTS:1. Contact Name: Cell Phone: Email Address: Address (if different):

2. Contact Name: Cell Phone: Email Address: Address (if different): 3. Contact Name: Cell Phone: Email Address: Address (if different):

PLEASE RETURN fORM TO: Arkansas Health Care AssociationAttn: Cat Hamilton1401 W. Capitol Avenue, Suite 180Little Rock, AR 72201

[email protected] | fax: (501) 374-1077

*Must be received no later than 2/9/18 to be listed in the AHCA/AALA Directory & Buyers Guide.

PAYMENTo Check o Visa o MasterCard o American Express

Name on card: CC#: - - - V-Code: Exp. Date: Billing Address: City: State: ZIP: Signature: Email Credit Card Receipt to:

SPONSORSHIP LEVEL*All levels include Associate Membership

o Diamond – $50,000o Platinum – $25,000o Gold – $15,000

o Silver – $10,000o Bronze – $5,000o Copper – $2,500

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Electric, Phone & Plumbing Order formHot Springs Convention Center

All advanced orders must be received seven (7) days prior to move-in for advance rates.

Event name: AR Health Care Association Spring Conference and Tradeshow Date(s) of event: 04/22/18-04/26/18Company name: _________________________________ Email Address: _________________________________Contact name: _______________________________________ Phone #: __________________________________Address: _____________________________ City: _______________________ State: _____ Zip: _____________

Service cannot be supplied until order form and payment are received.

Rates quoted below cover only the bringing of service to the booth and do not include wiring. The Hot Springs Convention Center does not stock receptacles for any electrical connection above a standard 20 amp, 110 volt outlet. Additional charge will be made if receptacles are not provided by the exhibitor. Under no circumstances shall anyone other than “center personnel” make electrical connections. Easy access to utility service panels must be provided at all times. Center personnel are authorized to cut floor coverings to obtain access to floor electrical boxes.

Rates are subject to change without notice.No helium or light gas filled balloons are permitted in the Hot Springs Convention Center.

No open flames are allowed in the Hot Springs Convention Center (candles must be completely enclosed in a glass globe).

-Prices listed on this page are PER EVENT unless marked differently.-

QUANTITY AMPERE Volts & Phase Advance Order Floor Order AMOUNT

20 amps 125 Volts (standard outlet) $30.00 $60.00 $

20 amps 208 Volt Single Phase $60.00 $120.00 $

20 amps 208 Volt Three Phase $80.00 $160.00 $





100 amps 208 Volt Single or Three Phase $250.00 $500.00 $

Power Strip INCLUDES TAX $7.69 $15.38 $

High Speed Internet Access (Synchronous Broadband) $200.00 $400.00 $

Water hook up $40.00 $80.00 $

Compressed air $50.00 $100.00 $

TOTAL $Visa, Mastercard, American Express and Discover welcome.

Visa/MSC/Am Exp/DSC #: ________________________________ Expiration date: ___________

Signature: ____________________________________________________________________________

Printed Name: ________________________________________________________________________

Please make checks payable to: Hot Springs Convention CenterMail Checks to the Event Coordinator as follows:

Attn: Kelli Withers, Hot Springs Convention Center, 134 Convention Blvd., Hot Springs, AR 71901Phone 501-321-2835 | fax 501-620-5009

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Exhibitor Packet Policies• All paperwork as to be turned in by 2:30 pm on the day of the deadline.

• All forms and freight (if applicable) must be received by the deadline to insure advanced prices.

• On the payment form- All of our rentals and services has 9% tax added to it. When you fill out the payment form please make sure you add tax to the subtotal of all forms. You must fill out the credit card informa�on and sign the form. Otherwise it is not an authorized purchase, we will not process payment and the order will not be filled. Once the show is completed all credit card info is disposed of.

• Any orders placed at the show (extra tables, chairs, labor) will be billed to the credit card on file and receipts will be emailed over.

• Freight Forms must include freight weight. We charge in increments of 100lbs.

• Return freight must have return label a�ached to the freight when the show is over and the exhibitor is responsible for scheduling a pick up from our warehouse the following business day. An improper paperwork fee will be applied to the credit card on file if this is not done. Any freight not picked up within 30 days will result in a $10.00 a month storage fee. A�er 270 days any freight le� will be disposed of. Any freight that is scheduled to be picked up at the conven�on center and has not been picked up on site by the �me our crews leave, will be force shipped back to our warehouse, per the conven�on center. (We cannot leave anything and the center will not handle freight) In this case you will be charged for the return freight at floor order price and improper paperwork. If we receive more than 2 shipments from the same exhibitor, a $10.00 charge will be added per shipment.

• Shipping and Receiving hours are Mon-Fri 8am-3pm.

• Any invoicing ques�ons and concerns must be submi�ed no later than 15 days a�er show ends.

• If you have any ques�ons please call Amanda at (501)376-9114.

• If applicable forms are not completely filled out (for freight weight crated, special handling), shipping labels are not done, the vendor packet/payment is not received before freight arrives at our warehouse, or if calls/emails have to be made to clarify forms or pickups etc., there will be an improper paperwork charge.

• Please sign and date sta�ng you have read Southwest Design and Displays Policies, and send in with your packet.

____________________________________ ________________

Signature Date

1310 JACKMAN ROAD BENTON, AR 72015 * (501) 376-9114

SIGNS * PROPS * EVENT PRODUCTION * RENTALS * CONVENTION SERVICESwww.southwestdd.com

12Southwest Design & Display

Accessories Order Form

SHOW NAME__________________________________DEADLINE:_____________________

EXHIBITOR NAME _______________________________________ BOOTH # ___________

ADDRESS ___________________________________________________________________(Street)

_____________________________________________________________________________(City) (State) (Zip)

PHONE ( ) ______-_______ FAX ( ) ______-_________ CONTACT NAME _______________________

EMAIL

Mail or Fax completed form to:Southwest Design & Display1310 Jackman Rd.Benton, AR 72015 We accept all major credit cards.

ITEM QTY ADVANCE PRICE FLOOR PRICE TOTAL4’ or 6’ Table $40.00 $55.004’ or 6’ Table, Skirted $50.00 $60.00

36” or 60” Round $30.00 $45.0036” or 60” Round, Skirted $45.00 $55.0042” Height Table, Skirted $50.00 $70.00Chair $7.00 $10.00Spandex Covered Cocktail Table $50.00 $70.00Spandex Covered 6’ Table $85.00 $100.00Wastebasket $7.50 $10.00Metal Easel $15.00 $20.0010 x 10 Carpet $60.00 $70.0010 x 20 Carpet $85.00 $90.00Bulk Area Carpet $3.50 per linear foot $4.00 per linear footSpeciality Items(Available upon request)

Subtotal

Plus Sales Tax (9%)

TOTAL

1310 Jackman Rd.Benton, AR 72015 Fax 501-408-4663

8’ Table8’ Table, Skirted

$55.00$60.00

$65.00$75.00

ALL BOOTHS CONTAIN: ONE 6’ SKIRTED TABLE, TWO CHAIRS and ONE ID SIGN

AHA April 16th, 2018


Address “Pre-Show” Shipments as follows:(Show Name) Hold for Exhibitor (Exhibitor/Booth#)Southwest Design & Display1310 Jackman Rd.Benton, AR 72015-4002

Return Freight Notifi cation( ) No. I will take care of my freight( ) Yes. Please ship my freight back for me. I will notify shipper to pick my freight at Southwest Design and Display.Freight MUST be boxed/crated and ready for shipping, WITH return labels.

SHIPPING DESIGNATIONSCrated/Skidded - Material on skids or in any type of container that can be unloaded with no additional handling.Special Handling/Uncrated - Material delivered by carrier in such a manner that it requires additional handling, such as (i.e. ground unloading; side door unloading; constricted space unloading; designated piece unloading; stacked shipments; loose or pad-wrapped shipments.)

SHIPPING RATES Cost per CWTOne Way

00.05$tnempihS deddikS/detarC00.55$detarcnU/gnildnaH laicepS00.53$stnempihs etal rof ytlaneP00.52$thgierF nruteR redrO roolF0035.$krowrepaP reporpmI

**ADVANCE SHIPMENT RECEIVING TIMES: Monday - Friday 8:00 a.m. - 4:00 p.m.**Weight Limitation Is Restricted To Under 5000lbs per piece

Designation Weight CWT Unit Price Total CostExample

Crated/Skidded (400/100) 4.00 $50.00 $200.00

SHOW NAME____________________________________________PAPERWORK DEADLINE____________________________

EXHIBITOR NAME ________________________________________________________ BOOTH # ___________

ADDRESS ____________________________________________________________________________________ (Street)______________________________________________________________________________________________(City) (State) (Zip)


EMAIL

Freight Handling Order Form1310 Jackman Rd.Benton, AR 72015 Fax 501-408-4663

ANY AND ALL SHIPMENTS WILL ONLY BE ACCEPTED AT OUR WAREHOUSE.DO NOT SHIP ANY FREIGHT TO THE CONVENTION CENTER!!!

DEADLINE TO RECEIVE ADVANCED SHIPMENTS *** ***

ReminderPrice shown is for one way shipping ONLY.Return freight will be billed to you at the

same rate. Payment information form MUSTbe sent along with this form for payment.

We accept all major credit cards.


April 17th, 2018

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Southwest Design & Display

SHOW NAME _________________________________DEADLINE________________________


ADDRESS ___________________________________________________________________(Street)

_____________________________________________________________________________(City) (State) (Zip)


EMAIL

Minimum charge is One Hour per laborer. Labor in excess of One House is billed in 1/2 hour increments.

Payment in full must accompany order.

Mail or Fax completed form to:Southwest Design & Display1310 Jackman Rd.Benton, AR 72015

We accept all major credit cards.

Labor Order Form1310 Jackman Rd.Benton, AR 72015 Fax 501-408-4663

LABOR RATES - PER LABORERStraight time Monday - Friday 8:00 a.m. - 5:00 p.m.Overtime is all other times and all weekend hours

All Labor rates are charged based on a 1 hour per man

QTY____________________________

LABOREXHIBITOR SUPERVISED INSTALLATION

EXHIBITOR SUPERVISED DISMANTLESOUTHWEST SUPERIVSED INSTALLATION(ok to proceed)

SOUTHWEST SUPERVISED DISMANTLE

REGULAR TIME$48.00$48.00$58.00$58.00

OVERTIME$68.00$68.00$87.00$87.00

TOTAL________________________________

All exhibits to be supervised by Southwest will be set up prior to Supplier move in.

Please fill out the information below for all EXHIBITOR supervised installation or dismantle labor.

InstallationDismantle

Number of men____________________

Date____________________

Start time____________________

End time____________________

Total hours____________________


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Southwest Design & Display

SHOW NAME _________________________________DEADLINE______________________


ADDRESS ___________________________________________________________________(Street)

_____________________________________________________________________________(City) (State) (Zip)


EMAIL

Method of Payment

_____Company Check (Make Payable to: Southwest Design)

_____ Visa

_____ MasterCard

_____ Discover

_____ American Express

Card Number _______________________________Exp Date ______________Security Code __________Name Printed on Card ________________________Signature __________________________________

Billing Address (required) _________________________________________________________________________ (Street) _______________________________________________________________________________________________(City) (State) (Zip)

Totals From All FormsAccessories Freight Labor Signage Plants Misc. Items ADD Tax 9% Total

A $40 processing fee will be added for declined

credit cards or returned checks.

Mail or Fax completed form to:Southwest Design & Display1310 Jackman Rd.Benton, AR 72015 We accept all major credit cards.

Payment Authorization1310 Jackman Rd.Benton, AR 72015 Fax 501-408-4663

PLEASE BE SURE TO ADD 9% SALES TAX TO TOTAL

***PLEASE NOTE: A 1.5% PROCESSING FEE WILL BE ADDED TO THE TOTAL ON ALL CREDIT CARD ORDERS***_____________________________________

______PLEASE CHECK HERE IN ACKNOWLEDGEMENT OF THE 1.5% PROCESSING FEE IF APPLICABLE

Please note- no orders will be processedif this form is not �lled out correctly



SHOW NAME _______________________SHOW DEADLINE_________________________


ADDRESS ___________________________________________________________________(Street)

_____________________________________________________________________________(City) (State) (Zip)


EMAIL

*******ORDER DEADLINE FOR SIGNS_______________________________***Late fees WILL apply if Information/Additions/Art work/Approval is recieved after this date***

SIZE QTY SHAPE BACKGROUND COLOR

LETTERING COLOR

SPECIAL INSTRUCTIONS

SIGN TO READ AS FOLLOWS: SHOW CARDSWant to highlight a product or special?

Table or Easel Signs are available!8” x 10” = $18.00

12” x 18” = $20.0018” x 28” = $28.0022” x 28” = $38.0024” x 48” = $60.00

BANNERSLogos, Logo type styles

$50.00 artwork charge if applicableCall Lorrie @ 501-376-9114

YOUR ORDER WILL BE INSTALLED AT THE SHOW BY SOUTHWEST DESIGN!

Signage Order Form1310 Jackman Rd.Benton, AR 72015 Fax 501-408-4663

Custom size? Call for pricing.

2’ x 4’ = $60.002‘ x 6’ = $90.003’ x 4’ = $90.00

3’ x 6’ = $135.003’ x 8’ = $180.00

custom sizes availablecall for pricing

Proofs on all items ordered will be sent to email provide and will not be processeduntil approval is received. Please make sure to send response quickly for processing.


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Documents

Spring - Arkansas Health Care Association · • Membership Certificate – Associate Members will receive a Certificate of Membership to display upon approval by the AHCA Board of