50+ Plus FYI Resource EXPO Exhibitor Registration—May 17, 2019 (Friday) EARLY BIRD Rate valid if paid by 3-8-19. EARLY BIRD Rate $399 (reg. rate $499) • Nonprofit $299 (limited number / reg. rate $399) Renaissance Senior Center • 3800 S. Econlockhatchee Tr., Orlando 32829 Fill out online and pay online and submit online. . .or For questions: call Linda at 407-265-0534 (O) or 407-312-0534 (C) or e-mail to Linda.Cavanaugh@50PlusFYI.org. Co-producers: 50+Plus FYI Resource Network, Orange County Commission on Aging, Senior Resource Alliance, & Seminole County Triad Company/Agency Legal Name*Contacts Name* First Last Email* Enter Email Confirm Email Cell Phone*Contacts Title*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Office Phone*Website*Business Type & Description or Mission*Special RequestsIMPORTANT: Please list any special requirements or concerns (e.g. signs, props, space, extra rooms, anything unique).*IMPORTANT: Please call us with special requirements or concerns (e.g. signs, props, space, extra rooms, anything unique).If not paid by 3-8-19, the Exhibitor rate will be $499 and the Nonprofit rate will be $399. IRS 501(c)3 tax-exempt status letter must accompany application to receive nonprofit rate.Please reserve one 6-foot table space at Early Bird rate: $399Please reserve one 6-foot table space at Regular Rate $499Please reserve one 6-foot table space at SPECIAL Non-Profit Rate $299Please reserve one 6-foot table space at Non-Profit Rate $399MiscWe need electrical outlet/electricity at $25 additional fee.Check the radio button to select.Electrical OutletTotal $0.00 Optional55,000 households total distributed: 20,000 50+PlusFYI ® Magazines mailed to households prior to 50+Plus FYI EXPO. 10,000 additional distributed throughout Greater Orlando/Central Florida. 25,000 additional distributed to 50+PlusFYI ® e-ZiNE subscribers. We are interested in a 50+Plus FYI EXPO Sponsorship for additional exposure. Please contact us with details. We are interested in additional direct marketing that targets the 50+ age households in vicinity of the EXPO. Send us EXPO Sponsorship information. Payment options*by credit card belowby check ( CLICK here to See Instructions)Check must be received by 3-8-19 to receive Early Bird Rate. To pay by check, right mouse click and choose print to print this form and mail with a check. Please still click submit when done so that we will know you're mailing a check. Make checks payable to 50+Plus FYI Resource Network. Mail to 220 Freeman Street, Longwood FL 32750.Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Billing Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Terms and Conditions: 1. Placement is on a first-come, first-served basis and is subject to restrictions where listed below. 2. Exhibitor Application/Agreement must be accompanied by PAYMENT IN FULL (Check, Discover, Visa, MasterCard, or American Express) to reserve the vendor space. The 50PlusFYI Resource Network reserves the right to restrict or make placement based upon exhibitor type. This application, when properly executed by Exhibitor and approved by the 50+PlusFYI EXPO planning committee, constitutes a legally binding Agreement. 3. Exhibitor agrees that Co-producers and/or 50+PlusFYI Resource Network will not be liable for errors and omissions in programs or advertising materials. 4. All Exhibitor, products, services, and displays are subject to approval. Applications not accepted will receive a full refund. 5. EXHIBIT REGULATIONS: Setup and breakdown instructions will be listed in the Exhibitor packet sent to Exhibitor. a. Exhibitor shall use the table assigned to them. Exhibit shall be so arranged as not to obstruct the general view nor hide the other exhibits. b. Space will be left clean. Nothing will be used within the auditorium that will injure, mar, or deface any surface of the auditorium and Exhibitor assumes responsibility for all such damages. 7. CANCELLATION OF EXPOSITION. 50+Plus FYI Resource Network is not liable in the event of cancellation or postponement of the Expo due to fire, strikes, government relations, terrorist acts, act of God, or other causes beyond the control of the 50+PlusFYI Resource Network. 9. LIABILITY. The Exhibitor is entirely responsible for the space leased and has the sole responsibility of keeping said space free from any conditions dangerous to persons visiting or working the exhibition floor. Exhibitor agrees to indemnify and to hold the 50PlusFYI Resource Network, the event venue, and their employees, volunteers, agents, co-producers, sponsors, and partners harmless from any and all claims, damages, actions, judgements, decrees, penalties, and/or personal injury, and/or damage to property including attorney’s fees and expenses for any injury, loss, or damage that may occur to Exhibitor, or to Exhibitor’s employees, guests, or property from any cause whatsoever, as a result of the use of the rented space, or the actions or failure to act of any party associated with the Exhibitor. Exhibitor recognizes that no other party holds insurance that relieves him from liability of damages as a result of use of the rented space. Exhibitor is solely responsible for damages to the premises and for violation of any law, code or regulation. By signing below, the applicant states that he/she has read and agrees to the above-stated Terms and Conditions. Signature*Please sign this form,Title*Date* EmailThis field is for validation purposes and should be left unchanged.