International Sound Symposium
Exhibitor Registration

Print this form, complete, and either fax to 831-401-2655 or mail to:
The Healing Music Organization, PO Box 1388, Felton, CA 95018

Company Name: _________________________________________________________________
Contact Person: _________________________________________________________________
Street Address: _________________________________________________________________
City: ___________________ State: ________ Zip: _________ Country: ____________________

Exhibitor Requests:

Exhibit Table Space $450 Please designate location preference (see exhibit map)

1st Choice: Monte Carlo Room Table No. ____ Lobby Table No. ______
2nd Choice:
Monte Carlo Room Table No. ____ Lobby Table No. ______

Conference Bookstore 60/40 split of gross sales
Advertising Requests:

Publication/Literature Table $50 per item
Registration Packet Inserts:
$100 per item

Symposium Program Advertising:

Size/Location Non-booth Rate Discount for Booth Rental
Inside Front Cover (not available) (not available)
Inside Back Cover $600 $480
Full Page (7" x 10") $450 $360
Half Page (7"x5") $300 $240
Quarter Page (4"x5") $175 $125
Line Listing in Program No Charge No Charge

Full payment is required to hold all above requests except conference bookstore.

Total Due: $_______________

Payment Options: Visa
Mastercard Check Money Order
Card No: __________________________________ Expiration Date: ________________________
Name on Card: ________________________ Signature: __________________________________
Credit Card Billing Address: ________________________________________________________

Please observe all timelines and schedules for payment and receipt of materials. A confirmation letter will be mailed to you upon receipt of registration form and payment.

Please make all checks payable to: The Dove Health Alliance, 430 Cliff Drive, Aptos, CA 95003

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