Tabletop Display Registration Form
The Heart of America Chapter of ATSSA The Lodge at Old Kinderhook 678 Old Kinderhook Drive Camdenton, MO 65020 888-346-4949
Wednesday, July 12, 2017, 9:00 AM to 2:00 PM: Displays open at 9:00 AM and will be set up all day Lunch from 12:00 PM to 1:00 PM Meeting from 10:30 AM to 2:00 PM
2017 Tabletop/Outdoor Display Registration Form Available Inside Tabletops – 16 Available Outside Spaces - 10
Tabletop space: Outside space:
$150 each $150 each
_______x $150 _______x $150
Total___________ Total___________ $5.00 credit card fee Total___________
Please note each purchased space includes one lunch, please don’t duplicate on the meeting registration form Company/Agency:____________________________________ Phone:__________________________ Booth Personnel Name: ________________________________Cell Number:_____________________ Street Address:_______________________________________ Fax:____________________________ City, State, Zip:_______________________________________Email:___________________________ Credit Card Number: __________________________________CVC #:____ Exp. Date _____________ Name on Card:_______________________________________________________________________ Credit Card Billing Address:_____________________________________________________________ Signature:___________________________________________________________________________ Additional Exhibitor Information:
You can begin setting up inside on Tuesday, July 11 after 6:00 PM. If you would like to have boxes shipped to your hotel room/cottage, please use the attached Old Kinderhook form for incoming packages. They are unable to receive shipments earlier than three calendar days prior to our event.
Please send registration form and payment to: Barb Ruggeri Sun Safety, Inc. 31 Country Lane, Eldon, MO 65026 [email protected] 573-392-8617(phone) 573-392-2048(fax) Please make checks payable to Heart of America ATSSA Chapter
INCOMING MATERIALS The Hotel will accept only pre-paid packages. The Hotel will not accept any packages delivered COD and the Hotel will make no notification to the shipper. All packages must contain a label giving the following information: TO: OLD KINDERHOOK RESORT 678 Old Kinderhook Drive Camdenton, MO 65020 Group Name YOUR NAME (Person Designated to Receive Item) Date: PACKAGES/PACKAGE HANDLING Due to lack of storage space, we regret that we are unable to accept shipments earlier than three calendar days prior to your conference. The Hotel shall not be liable of any packages sent to the Hotel by or for the Group. It is the Group’s responsibility to check on the arrival of any packages and to check to insure that the contents are intact. The Hotel accepts no liability for lost, stolen, or damaged goods. INBOUND PACKAGE HANDLING FEES The minimum fees are as Handling Fee to be applied to all Follows: Package Weight incoming packages 0 to 5 pounds $5.00 each 6 to 20 pounds $10.00 each 21 to 50 pounds $15.00 each Over 50 $25.00 each Crates $50.00 each Pallets $75.00 each
678 Old Kinderhook Drive, Camdenton, Missouri, 65020 . 888-346-4949 . www.oldkinderhook.com
PACKAGE ROOM/SHIPPING AND RECEIVING PACKAGE FEE NOTIFICATION DATE RECEIVED: RECIPENT’S NAME (LAST, FIRST) Group Number of boxes 0-5 lbs Number of boxes 6-20 lbs Number of boxes 21-50 Pallets ASSOCIATE SHIPPING COPMANY (CIRCLE ONE)
FedEx UPS DHL USPS Other
TOTAL FEE DELIVERD TO: (ROOM) /
Signature_____________________________
INBOUND PACKAGE HANDLING FEES The minimum fees are as follows. Hotel may charge more but may not change the range of pounds. Quantity
Package Weight 0-5 pounds 6-20 pounds 21-50 pounds Over 50 pounds Crates Pallets
Handling Fee to be applied to all incoming packages Complimentary up to 5 pieces, 6th & up is $5.00 ea $5.00 each $10.00 each $15.00 each TBD $50.00 each
OUTBOUND PACKAGE HANDLING FEES Handling Fee to be applied to all OUTBOUND packages $5.00 ea. Box 5 pounds or more.
678 Old Kinderhook Drive, Camdenton, Missouri, 65020 . 888-346-4949 . www.oldkinderhook.com
Wednesday, July 12, 2017, 9:00 AM to 2:00 PM: Displays open at 9:00 AM and will be set up all day Lunch from 12:00 PM to 1:00 PM Meeting from 10:30 AM to 2:00 PM
2017 Tabletop/Outdoor Display Registration Form Available Inside Tabletops – 16 Available Outside Spaces - 10
Tabletop space: Outside space:
$150 each $150 each
_______x $150 _______x $150
Total___________ Total___________ $5.00 credit card fee Total___________
Please note each purchased space includes one lunch, please don’t duplicate on the meeting registration form Company/Agency:____________________________________ Phone:__________________________ Booth Personnel Name: ________________________________Cell Number:_____________________ Street Address:_______________________________________ Fax:____________________________ City, State, Zip:_______________________________________Email:___________________________ Credit Card Number: __________________________________CVC #:____ Exp. Date _____________ Name on Card:_______________________________________________________________________ Credit Card Billing Address:_____________________________________________________________ Signature:___________________________________________________________________________ Additional Exhibitor Information:
You can begin setting up inside on Tuesday, July 11 after 6:00 PM. If you would like to have boxes shipped to your hotel room/cottage, please use the attached Old Kinderhook form for incoming packages. They are unable to receive shipments earlier than three calendar days prior to our event.
Please send registration form and payment to: Barb Ruggeri Sun Safety, Inc. 31 Country Lane, Eldon, MO 65026 [email protected] 573-392-8617(phone) 573-392-2048(fax) Please make checks payable to Heart of America ATSSA Chapter
INCOMING MATERIALS The Hotel will accept only pre-paid packages. The Hotel will not accept any packages delivered COD and the Hotel will make no notification to the shipper. All packages must contain a label giving the following information: TO: OLD KINDERHOOK RESORT 678 Old Kinderhook Drive Camdenton, MO 65020 Group Name YOUR NAME (Person Designated to Receive Item) Date: PACKAGES/PACKAGE HANDLING Due to lack of storage space, we regret that we are unable to accept shipments earlier than three calendar days prior to your conference. The Hotel shall not be liable of any packages sent to the Hotel by or for the Group. It is the Group’s responsibility to check on the arrival of any packages and to check to insure that the contents are intact. The Hotel accepts no liability for lost, stolen, or damaged goods. INBOUND PACKAGE HANDLING FEES The minimum fees are as Handling Fee to be applied to all Follows: Package Weight incoming packages 0 to 5 pounds $5.00 each 6 to 20 pounds $10.00 each 21 to 50 pounds $15.00 each Over 50 $25.00 each Crates $50.00 each Pallets $75.00 each
678 Old Kinderhook Drive, Camdenton, Missouri, 65020 . 888-346-4949 . www.oldkinderhook.com
PACKAGE ROOM/SHIPPING AND RECEIVING PACKAGE FEE NOTIFICATION DATE RECEIVED: RECIPENT’S NAME (LAST, FIRST) Group Number of boxes 0-5 lbs Number of boxes 6-20 lbs Number of boxes 21-50 Pallets ASSOCIATE SHIPPING COPMANY (CIRCLE ONE)
FedEx UPS DHL USPS Other
TOTAL FEE DELIVERD TO: (ROOM) /
Signature_____________________________
INBOUND PACKAGE HANDLING FEES The minimum fees are as follows. Hotel may charge more but may not change the range of pounds. Quantity
Package Weight 0-5 pounds 6-20 pounds 21-50 pounds Over 50 pounds Crates Pallets
Handling Fee to be applied to all incoming packages Complimentary up to 5 pieces, 6th & up is $5.00 ea $5.00 each $10.00 each $15.00 each TBD $50.00 each
OUTBOUND PACKAGE HANDLING FEES Handling Fee to be applied to all OUTBOUND packages $5.00 ea. Box 5 pounds or more.
678 Old Kinderhook Drive, Camdenton, Missouri, 65020 . 888-346-4949 . www.oldkinderhook.com
