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Dallas, TX - InterContinental Dallas

EXHIBITOR PROSPECTUS

www.orthokmeeting.com

A Leading Specialty Optometry Meeting

APRIL 5th - 9th 2017

Vision By Design is a four and one half day comprehensive meeting focusing on the latest advances, research and �tting techniques in all areas of myopia control and prevention, including

corneal reshaping.

VBD places a particular emphasis on specialty optometry. Featuring a corneal reshaping boot camp with topography and �tting wet labs, a scleral wet lab, exclusive sponsor workshops and

cutting edge research and presentations.

Our meeting is the product of the American Academy of Orthokeratology and Myopia Control. Designed by and for our membership out of a need to promote education, stay up to date on the latest industry trends and create a sustained and valued community of like-minded individuals.

The unique nature of these events attracts both advanced practitioners and beginners new to corneal reshaping and specialty lens �tting. Our attendees go back to their practices energized

and motivated. Vision By Design o�ers the latest innovations, industry products and tools needed for a successful practice.

Vision By Design 2016 Sponsors/Exhibitors:

PLATINUM SPONSORSAAOMCBausch & LombParagon Vision Sciences

GOLD SPONSORSAcculensAlden OpticalEyeSpaceGOV ArtmostiMatrixMedmontOculusOrthotoolWAVE

SILVER SPONSORSABB Optical GroupAdvanced Vision TechnologiesArt OpticalBruderComfort VisionContex OKCrystal Practice ManagementEssilor Contact LensesEuclidGP SpecialistsMeniconNatural OphthalmicsOptometry Giving SightOptosOptovueSceral Lens Education SocietyThe Power PracticeUnilensVeatchX-Cel Specialty Contacts

VBD2017 MEETING OVERVIEW

VBD2017 SPONSORSHIP OVERVIEW and EXHIBIT HOURS

EARLY EXHIBIT SET UPPLATINUM, GOLD, AND SILVER SPONSORS ONLY

(Wed April 6th) -- 7:30pm

REGULAR EXHIBIT SET UPALL SPONSORSHIP LEVELS

(Thurs April 7th) -- 6:00am -11:30am

THURSDAY (April 7th)Lunch 12pm -- 2:00pmCocktail Party -- 5:00pm - 7:00pm

*Exhibit Hall hall hours may be subject to changes based on minor revisions to the agenda

FRIDAY (April 8th)Lunch -- 12:00pm -2:00pmCocktail Party -- 6:00pm - 7:30 PM

SATURDAY (April 9th)Lunch -- 12:00pm - 2:00pm

EXHIBIT BREAKDOWN(Saturday April 9th) -- 2:30pm

Exhibit Hall Hours:

SPONSORSHIP OPTIONS:Platinum Sponsorship ($15,000.00) - Our highest level of sponsorship; featuring exclusive exhibit hall options, integration into the Vision By Design program, premium advertising and brand exposure opportunities, and platinum level perks. Platinum sponsorship o�ers recognition as an industry leader and partner of Vision By Design. For more information continue to the following Platinum Sponsors section.

Gold Sponsorship ($6,000) - Gold sponsors enjoy a preferred position in our exhibit hall, the opportunity to become a part of the Vision By Design program, advertising and brand exposure opportunities, and gold level perks. Gold sponsorship o�ers recognition as a major supporter of Vision By Design. For more information continue to the following Gold Sponsors section.

Silver Sponsorship ($5,000) - Silver sponsors get booth space in our exhibit hall, brand exposure, and silver level perks. Silver sponsorship o�ers recognition as a Vision By Design supporter. For more information continue to the following Silver Sponsors section.

Bronze Sponsorship ($3,000) - Bronze sponsors get booth space in our exhibit hall and recognition as a Vision By Design supporter. For more information continue to the following Bronze Sponsors section.

Additional Services - Find additional sponsorship service options after our sponsors section.

VBD2017 PLATINUM SPONSORSHIP $15,000

EXHIBIT HALLBooth Size: 10x20 footprintBooth Placement: An exclusive platinum (�rst pick) location in the exhibit hall for maximum exposureNumber of Booth Attendees: 5 with full VBD Friday, Saturday, and Sunday general program access

PROGRAM PARTICIPATION

BRAND EXPOSUREPremium signage throughout the meeting exclusive to platinum sponsorsCompany logo on meeting badge lanyards and attendee bagsCompany logo and bio with links featured on Vision By Design websiteCompany logo and bio in platinum exclusive section of course booklet

ADVERTISING

2 company spotlights on AAOMC/VBD social mediaDirect advertisement to AAOMC members in AAOMC private forumsFull episode interview/product highlight on AAOMC podcast

SPONSOR BENEFITS INCLUDE:

ADDITIONAL PLATINUM BENEFITS AND DETAILSCONTINUED ON THE NEXT PAGE

A 5-minute opening address at Friday morning VBD to help us kick things o�

Opportunity for extracurricular evening workshops.- Gold and platinum sponsors have the opportunity to hold their own evening workshop at the venue. Workshops are subject to terms and conditions of our workshop agreement and includes revenue sharing with VBD. Workshops are o�ered on a �rst come �rst serve basis. Do not delay, prime time slots �ll up quickly.Feature your product in the Boot Camp or Scleral Lab (or both). *Inquire with our sta� for more information.2 back to back manufacturer seminars during Saturday VBD (sponsor provides speaker and content)

Company logo included in e-blast advertisements about VBDComplimentary hotel door drop campaign at venue hotel to all attendees

A full page insert for all attendees’ bags (sponsor provides)A double page spread advertisement in the course booklet (sponsor provides)

PLATINUM PERKS

We request the following items from your company

+ Large high quality image of your company logo (formats: ti�, jpeg) Due Date: ASAP

+ A one paragraph company description including contact info. Due Date: ASAP

+ Two Full page Ads (Double Page Spread) for course book Due Date: February 1st(printing requirements)7.5” x 10”, no bleed. PDF is preferable, or a .ai �le with the fonts outlined/images embed-ded.

+ Full Page Insert for The Attendees Bag Due Date March 10thPlease provide us with a single page insert that we will place in the meeting bag of every attendee. We will contact you with a quantity to print closer to the meeting.

Send the inserts to this address:* Please provide tracking # with shipment

Matt HerzbergAmerican Academy of Orthokeratology & Myopia Control2853 E. New York Ave., Suite B.Aurora, IL 60502

VBD2017 PLATINUM SPONSORSHIP $15,000

ADDITIONAL SPONSOR BENEFITS:

VBD Vendor Rewards Program. - VBD will help drive business to you if you are participating in the Boot Camp or Scleral Lens Wet Lab. *Inquire with VBD sta� for more information.

4 Industry Discounts for attendees of VBD: Friday, Saturday, Sunday- These are meeting registrations you may pass on to some of your customers who you would like to bring to VBD. The discounted rate of $475 is yours to extend for a number of potential attendees according to your sponsorship level. This discount applies only to VBD General Session: Friday, Saturday, Sunday. Please email Sarah Witt ([email protected]) for more information.Pre and Post Meeting attendance listEarly booth set-upPlatinum sponsors may set up their booths Wednesday night in addition to our normal exhibit set-up hours.

REGISTER ONLINE AT WWW.ORTHOKMEETING.COM

Booth Size: 10x10 footprintBooth Placement: Prime (second pick) location in the exhibit hall for maximum exposureNumber of Booth Attendees: 3 with full VBD Friday, Saturday, and Sunday general program access

Extended signage throughout the exhibit hallCompany logo and bio with links featured on Vision By Design website and gold exclusive section of course booklet

2 company spotlights on AAOMC/VBD social mediaA full page insert for all attendees’ bags (sponsor provides)A single page advertisement in course booklet (sponsor provides)

VBD2017 GOLD SPONSORSHIP $6,000


EXHIBIT HALL

BRAND EXPOSURE

ADVERTISING

PROGRAM PARTICIPATION

ADDITIONAL GOLD BENEFITS AND DETAILSCONTINUED ON THE NEXT PAGE

Opportunity for extracurricular evening workshops.- Gold and platinum sponsors have the opportunity to hold their own evening workshop at the venue. Workshops are subject to terms and conditions of our workshop agreement and includes revenue sharing with VBD. Workshops are o�ered on a �rst come �rst serve basis. Do not delay, prime time slots �ll up quickly.

Feature your product in the Boot Camp or Scleral Lab *Inquire with our sta� for more information.

1 manufacturer seminar during Saturday VBD (sponsor provides speaker and content)


VBD2017 GOLD SPONSORSHIP $6,000ADDITIONAL SPONSOR BENEFITS:GOLD PERKS

VBD Vendor Rewards Program. - VBD will help drive business to you if you are participating in the Bootcamp or Scleral Lens Wet Lab. Inquire with VBD sta� for more information.

2 Industry Discounts for attendees of VBD: Friday, Saturday, Sunday- These are meeting registrations you may pass on to some of your customers who you would like to bring to VBD. The discounted rate of $475 is yours to extend for a number of potential attendees according to your sponsorship level. This discount applies only to VBD General Session: Friday, Saturday, Sunday. Please email Sarah Witt ([email protected]) for more information.Pre and Post Meeting attendance listEarly booth set-upGold sponsors may set up their booths Wednesday night in addition to our normal exhibit set-up hours.




+ A one page Ad for the course book Due Date: February 1st(printing requirements)7.5” x 10”, no bleed. PDF is preferable, or a .ai �le with the fonts outlined/images embedded.

+ Full Page Insert for The Attendees Bag Due Date March 10thPlease provide us with a single page insert that we will place in the meeting bag of every attendee. We will contact you with a quantity to print closer to the meet-ing.

Send the inserts to this address:* Please provide tracking # with shipment

Matt HerzbergAmerican Academy of Orthokeratology & Myopia Control2853 E. New York Ave., Suite B.Aurora, IL 60502

Booth Size: 10x10 footprintBooth Placement: Best remaining locationNumber of Booth Attendees: 2 with full VBD Friday, Saturday, and Sunday general program access

Exhibit Hall signageCompany logo on Vision By Design website and silver section of course bookletHalf-page ad in the Vision By Design Course Booklet

Pre and Post Meeting attendance listEarly booth set-up- Silver sponsors may set up their booths Wednesday night in addition to our normal exhibit set-up hours.




+ Half Page Ad for course booklet7.5” x 4.875” no bleed. PDF is preferable, or a .ai �le with the fonts outlined/images em-bedded.

VBD2017 SILVER SPONSORSHIP $5,000

EXHIBIT HALL


SILVER PERKS


BRAND EXPOSURE

REGISTER ONLINE ATWWW.ORTHOKMEETING.COM

Registration for all sponsorship plans online at

www.orthokmeeting.com

EXHIBIT HALLBooth Size: 10x10 footprintBooth Placement: remaining location after all other sponsor levels have been placedNumber of Booth Attendees: 1 with full VBD Friday, Saturday, and Sunday general program access

VBD2017 BRONZE SPONSORSHIP $3,000


Or Register by FAX:

Please use the forms at the end of this document.

Additional Booth Representative -- $475.00 (platinum, gold, silver)* Add one more booth personnel to your sponsorship package.

Additional Booth Space -- $500.00 (platinum, gold, silver)

* Silver/Gold Sponsor - Increase your booth space to 10x20* Platinum Sponsor - Increase your booth space to 20x20

Lead Retrieval -- $TBD (silver, gold & platinum sponsors only) * Please note on application page if you would like more information about this service and we will contact you with further details.

VBD2017 ADDITIONAL SERVICES

Meeting Seminar -- $Variable (gold & platinum sponsors only)

* Hold a private workshop, seminar or function under the VBD umbrella. Scheduled for Wednesday (Apr 5th) Thursday (Apr 6th), Friday (Apr 7th), or Saturday (Apr 8th) evenings and held at the host hotel. Sponsor is

provided with a room, options vary for food, A/V, etc. Option also for the AAOMC to promote the function through e-blast, google group, and social media. For

more information contact Matt Herzberg ([email protected]). (�rst come �rst serve)

Breakfast Seminar -- $1,500.00 (gold & platinum sponsors only)* Hold a private workshop, seminar, or function

featured in the main lecture hall from 7am - 8am while breakfast is made available to attendees and under the VBD umbrella. Available either on Thursday (April 6th),

Friday (April 7th), or Saturday (April 8th). Only three slots available in total (�rst come �rst serve).

Hotel Door Drop -- $TBD (gold & platinum sponsors only)* Participate in a hotel room door drop advertising campaign for all of our attendees. Platinum

Sponsors already receive this bene�t as a part of their sponsorship at no extra charge. Please note on application page if you would like more information about this service and we will contact you

with further details. For more information contact Sarah Witt ([email protected])

DELIVERIES TO THE HOTELAll shipments should be labeled as follows:

TO: YourselfThe InterContinental Hotel Dallas

C/O Your Convention Services Manager15201 Dallas parkway

Addison, TX 75001Hold For: Your Convention name and date

As Storage space is limited, the hotel cannot accept deliveries made tothe hotel more than three days prior to the convention meeting.

All large deliveries in excess of 150 pounds are to be inside deliveriesmade to the point of usage by persons making the delivery. Such

deliveries should be arranged with your Convention Services Manager.Inbound Charges:

Envelopes no charge1-4 Boxes no charge

5 or More Boxes- $8.00 per BoxPallet Shipments- $100.00 per pallet

The hotel is to be advised of all incoming deliveries.

Boxes being shipped out from the hotel need to be sealed and labeled.Any boxes left unattended in the exhibit �oor will not be the

responsibility of the hotel.Outbound Charges:

1-4 Boxes- No Charge5 or More Boxes- $4.00 per box

Pallet Shipments -$50.00 per pallet

VBD2017 HOTEL SHIPPING

Contact VBD Sta�:Matt HerzbergAAOMC Executive [email protected]

Sarah WittAAOMC Administrative [email protected]

Christi BaronDirector of Conference PlanningINTERCONTINENTAL DALLASTelephone: +1 972 386 6000Direct Line: +1 972 789 [email protected]

Caleb Campbell Sales Manager JSAV Audio Visual INTERCONTINENTAL DALLASDirect Line. 972.789.3180 [email protected]

VBD2017 CONTACTS & SERVICES

Equipment Qty Day Rate Days Total Please Print Clearly & Fill Out CompletelyAUDIO EXHIBITOR CONTACT INFORMATION

Speaker: 10" w/stand 0 75.00 1 0.00 Company:Speaker: 15" w/stand 0 100.00 1 0.00 Order Contact:Microphone: Wired Handheld 0 45.00 1 0.00 Address :Microphone: Wireless 0 125.00 1 0.00 City:Specify: Handheld Lapel Headset State:CD Player (Single Disk) 0 60.00 1 0.00 Zip Code:Mixer: 4-8 Channels 0 50.00 1 0.00 Tel:Notes: Fax:

E-Mail:DISPLAY EXHIBITOR DELIVERY INFORMATION

w/ built-in or attached speakers Booth #:20" LCD Monitor w/tabletop stand 0 150.00 1 0.00 Room #:32" LCD Monitor w/tabletop stand 0 280.00 1 0.00 Site Contact:37" LCD Monitor w/tabletop stand 0 375.00 1 0.00 Cell Phone:42" Plasma Monitor w/ floor stand 0 560.00 1 0.00 Delivery Date:50" Plasma Monitor w/ floor stand 0 720.00 1 0.00 Delivery Time:61" Plasma Monitor w/floor stand 0 900.00 1 0.00 Received By: X:__________________________________Mount: To Upright Truss 0 50.00 1 0.00 Pick-Up Date:Mount: To Overhead Truss 0 150.00 1 0.00 Pick-Up Time:Mount: To Client Scenic 0 150.00 1 0.00 Delivered By: X:__________________________________

VIDEO PAYMENT INFORMATIONDVD Player 0 80.00 1 0.00 Payment Type: Credit Card Company CheckBlu Ray Disk Player 0 175.00 1 0.00 (Payable to: J&S Audio Visual)BetaCam Player 0 240.00 1 0.00 Card Type: Visa MasterCardDVCam Player 0 300.00 1 0.00 Card Number:DVCam Camera w/Tripod 0 300.00 1 0.00

Card Exp Date:MISCELLANEOUS

LCD Projector (3000 Lumens) 0 525.00 1 0.00 3-digit #:Overhead / 35mm Slide Projector 0 65.00 1 0.00 Tripod Screen w/skirt 0 50.00 1 0.00 Card Name: (as appears on card)Projection Cart w/skirt 0 30.00 1 0.00 Specify Size: 34" 42" 54"

Card Address:

(billing address for card)Display Easel 0 15.00 1 0.00 Flip Chart w/Markers & Easel 0 40.00 1 0.00 (billing address for card)Laser Pointer 0 40.00 1 0.00 Computer Remote 0 40.00 1 0.00 Are you the Card Holder? YesAC Extension 25' 0 10.00 1 0.00 Is this a Corporate Card? YesAC Power Strip 0 10.00 1 0.00 Date Signed:

ADDITIONAL LABORDescription Qty Rate Hours Signature:AV Technician (per hr w/ 4 hr min) 0 45.00 4 0.00 Specialized Operator (per hr w/ 4 hr min) 0 52.50 4 0.00 Overtime Rates (Over 8hrs day) 0 67.50 4 0.00 Please Contact Your J&S Representative For:DT Rates (Holidays & After 12 midnight) 0 90.00 4 0.00 **Comprehensive Exhibit Booth AV Design**

**Larger Audio or Video Systems**TOTALS **Lighting Equipment & Systems**

Equipment Total 0.00 Service Charge (Delivery/Setup/Pickup) 24% 0.00

Sub Total 0.00

J&S AUDIO VISUAL, INC. 15201 Dallas Parkway

Addison, TX 75001 Phone (972)789-3044InterContinental Dallas

Your JSAV Representative are: Caleb Campbell & Becky Stengel

[email protected] [email protected]

ORDER DEADLINE: 20% Premium On All Orders within

72 hours EXHIBIT ORDER FORMPlease Print Clearly & Fill Out Completely

EXHIBITOR CONTACT INFORMATION

EXHIBITOR DELIVERY INFORMATION

X:__________________________________

X:__________________________________PAYMENT INFORMATION

Company Check(Payable to: J&S Audio Visual)

AMEX

(as appears on card)

(billing address for card)

(billing address for card)

NoNo

Please Contact Your J&S Representative For:**Comprehensive Exhibit Booth AV Design**

**Larger Audio or Video Systems****Lighting Equipment & Systems**

J&S AUDIO VISUAL, INC. 15201 Dallas Parkway

Addison, TX 75001 Phone (972)789-3044

Your JSAV Representative are: Caleb Campbell & Becky Stengel

[email protected] [email protected]

(After Deadline Date) Late Order Premium 0 20% 0.00

Tax 8.25% 0.00 Total 0.00

GENERAL INFORMATION:

The American Academy of Orthokeratology and Myopia Control (AAOMC) reserves the right to determine what is acceptable publicity and advertising, and also reserves the right to restrict at any time any display or ac-tivity it deems inappropriate or undesirable. In the event of such restriction, the AAOMC will assume no liability for any expenses incurred by the affected company. The restrictions outlined here also apply to advertisements in other media which refer to the Vision By Design Symposium.

All product/service demonstrations, interviews, instructional activities and distribution of promotional literature within the hotel must be confined to the limits of the assigned exhibit space. No exhibitor shall use the name Vi-sion By Design or any symbol or logo identified therewith, in any manner representing that the exhibitor or his products or services possess the approval or endorsement of the AAOMC or Vision By Design.

USE OF THE MEETING NAME AND LOGOThe name and logo of Vision By Design are proprietary marks. Use of the name and/or logo in any fashion, by any commercial entity, for any purpose (including materials mailed to the Vision By Design pre- registration list), is expressly prohibited.

USE OF SCIENTIFIC PROGRAM CONTENTVision By Design Symposium meeting is a not a public event. Programs presented at the meeting are for the edu-cation of attendees as authorized by the AAOMC. Any use of the program content, the name of a speaker and/or program title, or the name of the Vision By Design meeting without written consent of the AAOMC is prohib-ited. For this purpose, ”program content” includes, but is not limited to oral presentations, audiovisual materials used by speakers, and program handouts. This policy applies before, during and after the meeting.

STAFFINGExhibits must be staffed at all times during exhibit hall hours. Those firms that do not keep their area staffed and operating until the official closing time jeopardize their participation at future meetings.

NOTICE OF DISABILITYIn compliance with the Americans with Disabilities Act of 1990, The Vision By Design Symposium meeting will make all reasonable efforts to accommodate persons with disabilities at its meeting. Please contact the AAOMC with your requests.

CONTEST, RAFFLES, DRAWINGSVision By Design Symposium is a professional, scientific, educational meeting; please keep this in mind when planning a contest, drawing, raffle, etc. The AAOMC must approve all contests, lotteries, raffles and games of chance. All requests must be submitted to Matt Herzberg ([email protected]) for review and approved 30 days in advance of the meeting. No unapproved items may be used as a ”prize”.

EXHIBITOR FUNCTIONS/HOTEL SPACE REQUESTThe AAOMC has strict policies that limit the unofficial activities throughout the week of the event. These un-official activities include social events, meetings, focus groups and industry- supported symposia that are not planned or sponsored by the AAOMC. Only exhibiting companies are eligible to host a third-party event. Unoffi-cial activities cannot be held during the official meeting hours, or during an official Vision BY Design event such as a breakfast, lunch or evening symposia. This also includes Vision BY Design receptions. Please contact Matt Herzberg ([email protected]) for specific times. Exhibitors are not permitted to book space through the hotel.

FLOOR RECONFIGURATIONThe AAOMC reserves the right to reconfigure the exhibit hall floor plan. The AAOMC also reserves the right to relocate any exhibit at any time. Vision By Design has the right to limit the number of exhibitors of similar prod-ucts or services in order to ensure quality and a broad spectrum of products in limited space.

EXHIBITOR LICENSE AGREEMENT Vision By DesignLimitation of liability, exhibitor agrees to indemnify and hold harmless management and the Sponsors,Owner, exhibition hall facility, and the city in which this Exhibition is being held, and each of their respective officers, agents and employees, against all claims, losses, suits, damages, judgments, expenses, cost( including, without limitations, reasonable legal fees) and charges of every kind arising out of or resulting from its execution of this license or its occupancy of the space herein contracted for by reason of personal injuries, death, property dam-ages or any other sustained by any persons or others. Management shall not be responsible for loss or damage to displays or goods belonging to Exhibitor, whether resulting from fire, storms, acts of God, air conditioning or heating failure, theft, pilferage, mysterious disappearance, bomb threats or other causes.

All such items brought to the Exhibition are displayed at Exhibitor’s own risk, and should be safeguarded at all times. Management will provide the services of a reputable protective agency during the period of installation, show, and dismantling, and Exhibitor agrees that the provision of such services constitutes adequate discharge of all obligations of management to supervise and protect Exhibitor’s property within the Exhibition. Exhibitors may furnish additional guards at their own expense, only with prior approval by Management. Exhibitor agrees that Management shall not be liable in the event of any errors of omissions in any promotional material. Man-agement makes no representation or warranties with respect to the number of Exhibition attendees or the demo-graphic nature of the attendees.

Note: Exhibitors are to carry insurance to cover exhibit materials against damage and loss and public liability insurance against injury to the person and property of others. By executing the Sponsorship & Exhibit Booth Contract, Exhibitor warrants that there is in effect said insurance policy covering the exhibitor, with coverage remaining current through Exhibitor’s occupancy of Vision By Design Symposium and host hotel.

DAMAGE/LOSS OF PROPERTYExhibitor is liable for any damage caused to building floors, walls or columns, or standard booth equipment, or to other exhibitors’ property. Exhibitor may not apply paint, lacquer, adhesives, or other coating to building col-umns and floors or to standard booth equipment.

SAFETY AND FIRE LAWSAll applicable fire and safety laws and regulations must be strictly observed by Exhibitor. Cloth decorations must be flame proof. Wiring must comply with local Fire Department and Underwriters’ rules. Smoking in exhibits is forbidden. Crowding will be restricted and aisles and fire exits must not be blocked by exhibits.

DECORATIONManagement shall have the full discretion and authority in the placement, arrangement, and appearance of all items displayed by Exhibitor, and may require the replacing, rearrangement, or redecorating of any item or of any booth, and no liability shall attach to management for costs that Exhibitor may incur thereby. An exhibitor building a special background or side dividers must make certain that the surfaces of such dividers are finished so as not to be unsightly to exhibitors in adjoining booths.

OBSTRUCTION OF AISLES OR BOOTHSAny demonstration or activity that results in obstruction of aisles or prevents ready access to nearby exhibi-tors’ booth shall be suspended for any periods specified by Management. Original booth structure must remain intact, including side and back rails and drapes.

RESERVING HOTEL ROOMSExhibitors may not reserve blocks of rooms at the headquarter hotel(s). Meeting management provides room blocks at lower convention rates for all exhibitors and will work with exhibiting companies to accommodate all

attending staff members.

CANCELLATIONAny exhibitor who wishes to release assigned space 60 days prior to exhibition date will be refunded all but the $500 administration fee. For cancellations of exhibit space within the 59 days of the show a credit minus the administration fee that can be applied towards a future AAOMC event.

AMENDMENT TO RULESAny matters not specifically covered by the preceding rules shall be subject solely to the decision of Management. The Management shall have full power in the matter of interpretation, amendment and enforcement of all said rules and regulations.

EXHIBITOR CONTRACT VISION BY DESIGN 2017

____________________________________authorizes the AAOMC to reserve exhibit space for Vision By De-sign 2017.

PLEASE PRINT ALL INFORMATION CLEARLY

Contact Name_________________________________________________________________

Title_______________________________

Company Name_______________________________________________________________________

Address_____________________________________________________________________

City____________________ State/Province___________ Postal/ZipCode_________ Country________

Phone_________________________ Fax_______________________

E-mail _______________________________________________

Website:_____________________________________________________________

PLEASE LIST INDIVIDUAL(S) ATTENDING THE CONFERENCE FROM YOUR COMPANY. LIST ADDI-TIONAL REPRESENTATIVES ON A SEPARATE PAGE.

Name_______________________________________________________________

Title_______________________________________________________

E-Mail________________________________

Dietary Requirements: _______ (None) __________ (Gluten Free) _______ (Kosher)

Name_______________________________________________________________

Title_______________________________________________________

E-Mail________________________________


Name_______________________________________________________________

Title_______________________________________________________

E-Mail________________________________


Name_______________________________________________________________

Title_______________________________________________________

E-Mail________________________________


Name_______________________________________________________________

Title_______________________________________________________

E-Mail________________________________


Kindly indicate your participation level (please check all that apply)

_____ Platinum Sponsor: $15,000

_____ Gold Sponsor: $6,000

_____ Silver Sponsor: $5,000

______ Bronze Sponsor $3,000

Registration Options:

Additional company reps ( $475 ea)_______ *Available to Silver, Gold and Platinum Sponsors Only

Additional booth space ($500) ________*Available to Silver, Gold and Platinum Sponsors Only

Breakfast Seminar ($1,500) _________*Available to Gold and Platinum Sponsors Only

Please Send me more information:

Hotel Door Drop _____ (Yes) ______ (No)

Lead Retrieval _____ (Yes) ______ (No)

Total Amount Paid $_______________

COMPLETE FORM AND FAX to:Matt HerzbergAmerican Academy of Orthokeratology and Myopia Control 866-561-9108 or scan this document and email to Matt [email protected]

Continued On Following Page

Payment Method

_____ Visa ________ Mastercard _____ American Express _____ Discover card

Credit Card # ________________________________________________________________

Expiration Date_________________

______ three digit signature code _________ Amex four digit code on front of card

Print Name on Credit Card_____________________________________________________

Billing Address of Credit Card:_________________________________________________________________

__________________________________________________________________________________________

________________________________________________________________________

Signature___________________________________________________________________

Note: By signing this form it is agreed that all rules and regulations listed in the exhibitor license agreement will be adhered to by the exhibiting company

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