2015 ISES DC INFLUENCE Expo Sponsorship and Exhibitor Form Monday, May 11, 2015 Washington Hilton, 1919 Connecticut Avenue, NW Washington, DC Expo: 5:00pm9:00pm Name: Company: Mailing Address: Phone: Fax: Email: Please check one: Member Non-Member ISES DC INFLUENCE Expo 2015 – Exhibitor (Non-Members Add $100 per Booth Space) Single booths and double booths are available. Each booth order receives: (1) Exhibitor Badge, Standard 10’x10’ Booth, 6’ Table with Cream Linen, (2) Chairs Single: $150 Double: $300 To purchase additional tickets to the reception only (7:30pm-9:00pm). This exhibitor privilege. Reception ONLY Ticket (Member) $45 Reception ONLY Ticket (Non-Member) Total Due: $__________________ Method of Payment: MC/Visa AMEX Credit Card #: Billing Address: (If different from above) Company: $65 Check (Payable to ISES DC Chapter) Expiration Date: Street: City/State/Zip: Sponsorship opportunities are available. If you have questions about sponsorship, please contact Meredith Greene at [email protected]/703.216.5215 Please complete and submit this form along with any questions to the ISES DC Chapter: Email: [email protected] Postal Mail: ISES DC, c/o Heidi Brown, 4740 Connecticut Ave, NW Unit #715, Washington, DC 20008 PLEASE NOTE! The exhibitor assumes the entire responsibility and liability for losses, damages, and claims arising out of exhibitor’s activities on the Washington Hilton premises and will indemnify, defend, and hold harmless the Washington Hilton, its owner, its management company, as well as their respective agents, servants, and employees from any and all such losses, damages, and claims. The exhibitor will also indemnify, defend, and hold harmless the International Special Events Society and its DC Chapter from any and all such losses, damages, and claims. I have read and agree to the above terms: X____________________________________________________________________