1

2013 Florida Massage Convention & Trade Show

June 27-30, 2013 Presented by Florida State Massage Therapy Association

Exhibit, Advertisement & Sponsorship Information

2

EXHIBIT AT THE LARGEST ATTENDED MASSAGE THERAPY CONVENTION &

TRADE SHOW IN THE COUNTRY!

Dear Exhibitor, Sponsor, Advertiser and Educator, The Florida State Massage Therapy Association (FSMTA) is proud to present the 2013 Florida Massage Convention & Trade Show at the beautiful Omni Orlando Resort at ChampionsGate in sunny Orlando, Florida, June 27-June 30, 2013. In 2013, the Florida Convention & Trade Show will welcome presenters and exhibitors from around the world. With more continued education credits than ever before, new events and exhibits and over 100 exhibitor spaces, you can now customize your total convention experience. Here are a few of the upgrades we have made this year: Online Registration

Link to our exhibitors directly from the website

1 hour classes available to our exhibitors to showcase their product/service

Exhibitors can log in and see the people who visited their Trade Show Booth

Print mailing labels directly from the Trade Show Floor

Free rental of a Lead Scanner – if paid in full by 01/31/13.

More events…More food…More FUN!

FSMTA greatly appreciates your continued support of our continuing education efforts and is working to make your life much easier with every step. Forms included in this prospectus include: Exhibitor Information, NEW Sponsorship Opportunities and Advertising Options to promote your product, service or class. Established in 1939, Florida State Massage Therapy Association (FSMTA) maintains a growing

membership of over 5,000 Students, Professionals and Associations and represents approximately

33,000 licensed massage therapists in the state of Florida. Serving 19 Chapters around the state,

with Corporate Offices located in Altamonte Springs, Florida, FSMTA continues to play a lead role in

creating and promoting standards of excellence in healthcare and unifying the Massage Therapy

Profession.

We look forward to your participation in the 2013 Florida Massage Convention and Trade Show! Sincerely, Leiah J. Carr Lynn Rogo FSMTA Executive State President Marketing Manager

3

LOCATION & ACCOMMODATIONS

Omni Orlando Resort at ChampionsGate, 1500 Masters Blvd, ChampionsGate, FL 33896 Phone: 407-390-6664 Fax: 407-390-6600

The Omni Orlando Resort at ChampionsGate is a four-star, four-diamond resort that offers natural beauty including natural wetlands and citrus groves. Located twenty-five minutes from all the attractions at Walt Disney, SeaWorld, and Universal Studios, this is the perfect place to bring the family for a vacation while you participate in the 2013 Florida Massage Convention & Trade Show. The resort offers a European-style spa; a salon; a fitness center; outdoor heated swimming pool and activity pool featuring waterslides; an 850-foot lazy river that winds through tunnels, gentle rapids, and hidden canyons (a perfect place to unwind after a long day); a video game arcade; volleyball; golf; basketball; tennis; nature walks and jogging trails.

Discounted Room Rate: $130 per night plus tax and includes a resort fee allowing access to all services, including: transportation to Walt Disney World Theme parks; use of health clubs; use of all recreation activities including the lazy river, pool, tennis, volleyball, and basketball; driving range balls; daily newspaper; local and toll-free calls; in-room coffee; high speed Internet access; evening turndown service (upon request); and complimentary self-parking.

To make reservations, please contact the Omni Orlando Resort at ChampionsGate directly at 800-843-6664 and ask for the FSMTA room block. Cut-off date for the FSMTA room block is Wednesday June 5, 2013. Check-in is by 3:00 pm with a check-out time of 11:00 am. The FSMTA group rate will be offered three days prior and three days after the meeting dates, subject to availability of the rooms. So, bring your family and stay a little longer to enjoy all of the wonderful offerings of the Omni Orlando Resort at ChampionsGate.

Directions from Orlando International Airport: Take south exit to 417 South. Take 417 South and follow the signs to I-4 West. Take I-4 West, three miles past the Disney exits. Take exit 58 and bear right to the ChampionsGate main entrance. The hotel address is 1500 Masters Blvd, ChampionsGate, FL 33896.

REGISTRATION To register as an exhibitor, complete the attached Exhibitor/Sponsorship Agreement, read, sign and remit payment to: FSMTA 978 Douglas Ave, Suite 104 Altamonte Springs, FL 32714 407-786-3307 Once your contract has been received and accepted, all badge requests and additional purchases (banquet tickets, t-shirts, etc) will be done online at www.myfsmta.org.

SHIPPING & RECEIVING FSMTA is proud to once again partner with Gulf Coast Expo as your official Drayage Contractor and ABF Freight as the official freight carrier for this event. Using their material handling service, your shipment can be received at the Advance Warehouse location up to 4 weeks prior to the event. For questions/concerns, please do not hesitate to contact them via email at Christine@gulfcoastexpositions.com.

EDUCATION & WORKSHOPS Registration to the convention allows the attendee access to the trade show floor and all 1 hour exhibitor classes. General admission to the trade show floor is also complimentary and available on a per day basis.

PRIZE DONATIONS FSMTA will be offering random prize drawings on the trade show floor in an effort to highlight our exhibitors as the main attraction. We ask that all exhibitors donate a minimum of 1 door prize. Any contributions towards a grand prize would be greatly appreciated. This is your chance to support your customers and gain additional exposure for your product/service.

SHOW DÉCOR The theme for 2013 is “Power 2... Ignite Your Profession” and basic blue will serve as your background. Your booth space includes: one shared internet connection, drapery, skirted table, 2 chairs and a wastebasket. Please contact our convention vendor to address your specific design and/or shipping needs.

EXHIBITOR INFORMATION

4

The exhibit fee provides your company with exhibit space (size as specified on price list), including 1 draped table, 2

chairs, a wastebasket; and a listing of your firm in meeting materials and a link on our website. Four representatives per

9iik8

8' x 8' Booth (1st booth) $725 $775 Additional booth $575 $625

Corner 8'x8' Booth (1st booth) $775 $825 Additional non-corner booth $575 $625 Additional corner booth $625 $675

8'x10' Booth (1st booth) $975 $1,045 Additional booth $750 $900

Corner 8'x10' Booth (1st booth) $1,175 $1,225 Additional non-corner booth $750 $900 Additional corner booth $900 $1,025

Island Booth 16’x30’ $4,400 $4,900

BOOTH SPACE BENEFITS INCLUDE:

To reserve your booth, a non-refundable deposit of 1/2 the cost of exhibit space or full payment must be received with completed contract and order form (last page of this prospectus). Full payment must be received NO LATER THAN APRIL 30, 2013. Fees not paid in full by April 30th may result in space being forfeited. Booth assignments are made according to the date when payment is received. Exhibitor agrees to abide by all rules, regulations and restrictions outlined herein. Exhibitor agrees to accept a relocation should it be necessary for reasons beyond the control of FSMTA. Rental of lead scanner if paid in full before March 30, 2013 is $25. Final payments received after March 30, 2013 will include a $50 rental fee for the lead scanner. There is a refundable security deposit of $100 for the lead retrieval scanner.

Company Name (exactly as it should be published) ______________________________________________

Printed Name of Primary Contact Person _____________________________ Date ___________________

By signing below, I state that I have read, understand, and agree to abide by the Exhibitor Rules and

Regulations included in this Prospectus.

Authorized Signature of Primary Contact Person _____________________________________________

1 hour class to promote the use of your product/service – limited number available

Discounted Room rate Access to Lead Retrieval System 1 FREE Wireless Internet Connection

per booth (dedicated lines available for a fee)

8ft blue drape across the back of your booth

3ft side drapes at your booth 6ft skirted table and 2 chairs Wastepaper Basket Vendor Welcome Continental Breakfast

50% Deposit or Payment in full ON

OR BEFORE March 1, 2013

50% Deposit or Payment in full

AFTER March 1, 2013

Pay In Full BEFORE

January 31, 2013 and

get FREE rental of a

Lead Scanner!

EXHIBITOR BOOTH CONTRACT

Exhibitor ID Sign with Company Name & Booth # Refreshments during show hours (provided by

sponsors Vendor Welcome Reception – Continental

Breakfast Access to special events FREE exposure on www.FSMTA.org and

www.myfsmta.org FREE exposure in National Publications and

Websites Increased exposure of your business by our

media sponsors

5

Yes, I would like the opportunity to teach a class designed to showcase the use of my product and/or

provide a business resource to convention attendees. Are you a CE Provider Y or N? If yes, FSMTA

will contact you for further information.

No, I would NOT like the opportunity to teach a class designed to showcase the use of my product or

service and/or provide a business resource to convention attendees.

Preferred educational topic: _________________________________________________________________

Secondary educational topic: ________________________________________________________________

PLEASE RESERVE THE FOLLOWING SPACE(S):

Booth Number(s) 1st Choice ______________ 2nd Choice ______________ 3rd Choice _____________

Products/Service Represented ______________________________________________________________

We do not wish to be in close proximity, if possible, with the following companies: ______________________

________________________________________________________________________________________

Online Registration for trade show badges and additional events – please visit www.myfsmta.org.

Every individual exhibitor must register online for a badge.

ALSO AVAILABLE:

FSMTA Annual Banquet Tickets = $60 each

Advertising Opportunities

Sponsorship Offerings

Lunch Zone on Trade Show Floor

Duck Packages for the Lazy River Duck Race fundraiser in support of Touch Research Institute

EXHIBITOR BOOTH CONTRACT

6

TRADE SHOW HOURS*

THURSDAY, JUNE 27 8:00 am – 2:00 pm Set-Up

3:00 pm – 6:30 pm *Trade Show Open - Ribbon Cutting FRIDAY, JUNE 28 10:00 am – 6:30 pm* Trade Show Open SATURDAY, JUNE 29 10:00 am – 6:30 pm* Trade Show Open

7:00 pm –10:00 pm Teardown

Exhibitor badge and lanyard must be worn at all times to receive admission to all events. *All convention events, set up and tear down hours are subject to change. Trade show doors locked at 7 pm.

TRADE SHOW FLOOR

TRADE SHOW HOURS AND FLOOR PLAN

7

Authorized representatives of the Florida State Massage Therapy Association Convention are hereinafter referred to as “Convention Management.”

PAYMENTS & REFUNDS Space reservations are made based upon date received and availability of choices selected. Applications will not be processed nor space assigned unless the application is accompanied by deposit or payment in full. A non-refundable deposit equal to 50% of the total fees will hold a space until April 30, 2013. After that date, the Convention Management reserves the right to rent that space if payment in full is not received. Cancellation of exhibit space must be received in writing. If the Exhibitor cancels prior to 60 days preceding the Convention, the Convention booth rental fee will be refunded (less the deposit), only if the space can be resold by the FSMTA. If the Exhibitor cancels after 60 days preceding the Convention, no refund will be given. In the event the Convention is not held for any reason whatsoever, the rental and lease of space shall be terminated per hotel contract. In such case, the limit of claim for damage and/or compensation by the exhibitor shall not exceed the amount paid for exhibit space. AUTHORIZED REPRESENTATIVE Each exhibitor must name one representative who is responsible for the installation, operation, and removal of the firm’s exhibit. Such representative shall be authorized to enter into such service contracts as may be necessary and for which the exhibitor shall be responsible. The exhibitor shall assume responsibility for such representative being in attendance throughout all show periods and this representative shall be responsible for keeping the exhibit neat, manned, and orderly at all times. SPACE RENTAL AND ASSIGNMENT OF LOCATION FSMTA reserves the right to refuse rental of display space to any company whose display of goods and services is not, in the opinion of the Convention Management, likely to be compatible with the general character and objective of the Convention. Whenever possible, space assignments will be made by the Convention Management in keeping with the location preferences requested by the exhibitor in addition to the date received of the request. The Convention Management, however, reserves the right to make the final determination of all space assignments in the best interest of the convention, including relocation of the exhibit from the location stated on the contract. INSTALLMENT AND REMOVAL OF EXHIBITS Convention Management reserves the right to fix the time for installation of exhibits prior to the exhibit hall’s opening and for their removal after the conclusion of the convention. Installation and dismantling of booth space will take place according to the exhibit schedule. Any space not claimed by 12 noon on June 27, 2013, may be sold or reassigned by Convention Management. No part of an exhibit shall be dismantled nor materials removed until after the official closing of the exhibit hall hours without special permission from FSMTA. EXHIBIT CONSTRUCTION AND SPECIAL REQUIREMENTS Booths will be as per the Booth Layout Chart. Signs or other features may not exceed an eight foot height unless special arrangements are made in advance with the Convention Management. Displays or other features in the form of the exhibit must not interfere with a clear view of neighboring exhibits. All surfaces which can be seen from any aisle or from any other exhibit must be finished. OPERATION OF DISPLAYS Convention Management reserves the right to restrict the operation of or evict completely any exhibit which, in its opinion, detracts from the character and objective of the exhibit as a whole. This includes, but is not limited to, exhibits which because of noise, flashing lights, method of operation, or display of unsuitable material are determined by Convention Management to be objectionable to the successful conduct of the convention as a whole. Flashing lights, PA systems, boom boxes, separate audio systems, megaphones, bells, sirens, buzzers, etc., will not be permitted. All demonstrations or other activities must be confined to the limits of the exhibitor’s rented space. Distribution of circulars may be made only within the space assigned to the exhibitor presenting such materials. Without permission from the Convention management, no advertising circulars, catalogs, folders or devices shall be distributed by exhibitors in the aisles, meeting rooms, registration areas, lounges, grounds, or other facilities.

8

EXHIBITS AND PUBLIC POLICY Each exhibitor is charged with knowledge of all laws, ordinances and regulations pertaining to health, fire prevention and public safety, while participating in this Convention. Should an exhibitor have any questions as to the application of such laws, ordinances, and regulations, Convention Management will endeavor to answer them or to direct the exhibitor to the best source of information. LIABILITY AND INSURANCE All property of the exhibitor remains under his control in transit to and from the exhibit hall and while it is in the confines of the exhibit hall. Neither the Convention Managers, their service contractors, the management of the contracted hotel, nor any officers, staff members, or directors of any of the same are responsible for the safety of the property of exhibitors from theft, damage by fire, accident, vandalism, or other causes, and the exhibitor expressly waives and releases any claim or demand he may have against any of them by reason of any damage to or loss of any property of the exhibitor. SALES TAX In accordance with Florida’s Tax Statute, exhibitors must collect a 6% sales tax on sales of tangible personal property purchased within Osceola County. Consult your attorney or the Florida Department of Revenue to determine tax exemptions if no sales are made within the state. EXHIBITOR USE OF SPACE Exhibitors may not assign, sublet or share any portion of their space. Exhibitors may not enter another exhibitor’s booth/space without permission. RESPONSIBILITY CLAUSE Exhibitor assumes responsibility and agrees to indemnify and defend Florida State Massage Therapy Association and the Omni Orlando Resort at ChampionsGate and its respective owners, employees, and agents against any claims and expenses arising out of the use of the Exhibition Hall. Exhibitor understands that neither Florida State Massage Therapy Association nor the Omni Orlando Resort at ChampionsGate maintains insurance covering the Exhibitor’s property, and it is the sole responsibility of the Exhibitor to obtain such insurance. PRIVATE EVENTS Exhibitor understands that a private event sponsored by exhibitor may not be held at any time that might be in conflict with any official FSMTA convention function. Exhibitor may sponsor private events only when said event does not occur at the same time as published FSMTA function, i.e., meeting, food function, etc. OFFICIAL RECEIPTS Exhibitors are requested to provide official onsite printed receipts for all purchases. FSMTA gives 1 prize drawing ticket to shoppers for every $10 they spend. Shoppers must present onsite receipts to get tickets.

9

Become a Florida Massage Convention & Trade Show sponsor and target an audience of

approximately 1,200 attendees.

Gain increased visibility at one of the nation’s largest gathering of massage therapy professionals!

Take advantage of low hotel rates at a 4 Star Resort.

Get your company’s name out to massage therapists, massage therapy students, educators and other

health-care practitioners who are interested in purchasing your products.

Make it a family vacation at the beautiful Omni Orlando Resort at ChampionsGate, located a short

distance from the theme parks!

All sponsorship opportunities will include appropriate signage at the sponsored event, recognition on-

site, announcements at the sponsored event, acknowledgement in our bi-monthly magazine,

recognition on our website and national exposure through our media partners.

No matter what your budget, there is an opportunity for you! Don’t delay in making your choices…opportunities

are first-come, first served. We look forward to showcasing YOU at the 2013 FSMTA Annual Convention!

Please contact Lynn Rogo, FSMTA Marketing Manager, via email at lynn.rogo@fsmta.org or at 407-786-3307 to confirm your sponsorship today. FSMTA reserves the right to change and/or modify sponsor opportunities.

Presidents Reception – NEW Wednesday night kicks off in style with this Invitation Only Reception including Executive Board and Exhibitors. Sponsorship includes recognition during the event, signage, and general sponsor recognition throughout the event and on www.FSMTA.org.

$2000

Refreshment Breaks on the Trade Show Floor Be the one attendees are thanking for a light afternoon snack option held on the floor of the trade show. Sponsorship includes recognition during the event, signage, and general sponsor recognition throughout the event and on www.FSMTA.org.

$1000

FSMTA Board Meeting Provide refreshments for the FSMTA Board of Directors at the Quarterly Board Meeting and have your logo prominently displayed during this meeting of all 19 chapters. Sponsorship includes recognition during the event, signage, and general sponsor recognition throughout the event and on www.FSMTA.org.

$1500

Convention Tote Bags (1,000) Large Tote Bag includes Company Name and Logo on the bag. Sponsorship includes recognition during the event, and general sponsor recognition throughout the event and on www.FSMTA.org.

SOLD

SOLD

CE Monitor Polo Shirts Company logo on one sleeve Sponsorship includes recognition during the event, and general sponsor recognition throughout the event and on www.FSMTA.org.

$1000

Music for Friday and Saturday night Includes recognition during the event, signage, and general sponsor recognition throughout the event and on www.FSMTA.org.Sponsorship

$1500 ea

Sports Water Bottle Given out with the tote bags, these water bottles will have your company logo printed on the bottle Sponsorship includes recognition during the event, signage, and general sponsor recognition throughout the event and on www.FSMTA.org.

$3000

SPONSORSHIP OPPORTUNITIES

10

Convention Badge Have your logo displayed on the attendee Badge. Sponsorship includes recognition during the event, and general sponsor recognition throughout the event and on www.FSMTA.org.

SOLD

SOLD

Annual Meeting Receive recognition at the largest meeting of FSMTA, on the annual report and on all general sponsor recognition. Sponsorship includes recognition during the event, signage, and general sponsor recognition throughout the event and on www.FSMTA.org.

$1500

Friday Gavel Club Lunch An annual gathering of all FSMTA Presidents, present and past. Sponsorship includes 4 tickets to the luncheon, recognition during the event, signage, and general sponsor recognition throughout the event and on www.FSMTA.org.

$2000

Educator Track Provide refreshments for the Educators and be recognized with signage at the event and on all promotion of these classes when marketing to the schools. Sponsorship includes recognition during the event, signage, and general sponsor recognition throughout the event and on www.FSMTA.org.

$1500

Royal Affair Banquet Sponsor a table and receive 10 banquet tickets with your company name and logo prominently displayed. Recognition at the event, in the event program and throughout the convention. Sponsorship includes recognition during the event, signage, and general sponsor recognition throughout the event and on www.FSMTA.org.

$1000

Sports Team Breakfast Get your company in front of all members of the FSMTA Sports Team. Sponsorship includes recognition during the event, signage, and general sponsor recognition throughout the event and on www.FSMTA.org.

$1000

Duck Race Prizes (3 available) Prizes for the 1st , 2nd and #3rd place winners. Sponsorship includes recognition during the event, signage, and general sponsor recognition throughout the event and on www.FSMTA.org.

$500

Video Award Winners Wall – NEW –CONVENTION SPECIAL Receive Prominent display during the entire convention on a digital wall. Refreshes every 30 sec and will contain schedule information, prize drawing information, and other live feeds. AD - 30 second promotional ad in rotation - average exposure 20 times per day.

$40

Digital Kiosk – NEW (Multiple opportunities) New this year, these kiosks will provide convenience to all attendees of the convention. They will be used for everything from registration to add on purchases, even to check your email! External Signage Only – full signage rights to a single machine (does not include content)

$750

Digital Signage – NEW Exclusive content on an interactive sign allowing attendees to map your location.

$1500

Mobile Charging Station – NEW Located on the trade show floor, this added convenience will keep attendees captivated by your static message as they recharge their cellular devices, tablets, etc. Thursday or Sunday ONLY Friday ONLY Saturday ONLY ENTIRE CONVENTION – exclusive rights to a single machine for all 4 days (Just $300/day!)

$350 $695 $695 $1200

11

MASSAGE MESSAGE MAGAZINE This is the official bi-monthly publication of the Florida State Massage Therapy Association. Market your product or service by maintaining a presence in the two issues leading up to the 2013 Florida Massage Convention & Trade Show! All advertisements are full color and are discounted for all convention exhibitors.

Exhibitor/Sponsor Name Listed Included in Exhibitor/Sponsor fee 1/9 Page 3.5” w x 2” h $290 1/4 Page 3.625” w x 4.875” h $500 1/2 Page 3.625” w x 10” h or 7.5” w x 4.875” h $605 Full Page 7.5” w x 10” h $760 Inside Back Cover 7.5” w x 10” h $915 Inside Front Cover 7.5” w x 10” h $915 Back Cover 7.5” w x 8” h $1050

The July/August – Deadline: May 7, 2013. We print an extra 1,000 copies of this issue of our magazine for distribution at convention. Exhibitor and Sponsor names are published in this issue and others.

ATTENDEE SCHEDULE The On-Site Convention program is an 8.5"x 11" program that is given to all convention registrants. This program contains the schedule of events. All advertising positions are in color.

Inside Front Cover 7.5” w x3.25.” h $500 Back Cover 5.75” w x 3.5” h, $450

CONVENTION TOTE BAG INSERTS – Deadline: May 15, 2013 Every registered attendee receives a convention tote bag. This is a great opportunity for you to introduce your company to convention participants. NEW THIS YEAR! For the benefit of supporting companies, we have changed our policy on tote bag inserts. If your company does not manufacture products, you are welcome to insert a promotional item (pen, keychain, etc.) for the sample price. Please contact FSMTA for shipping information.

Exhibitor Non Exhibitor

Flyer/Brochure/Catalogue - supply 1000 pieces Free $250 Full Size Sample supply- 1000 pieces Free Free Sample Size/Promotional Item supply- 1000 pieces Free $150

ELECTRONIC ADVERTISING Exhibitor and Sponsor names with hyperlinks are posted on both of our websites, www.fsmta.org and www.myfsmta.org , as part of your exhibitor and/or sponsorship fees. We also offer paid advertising on our website and on Constant Contact emails. Please contact the FSMTA Cooperate Office for more information.

High-resolution files (.eps - fonts embedded; .tiff; .pdf, .jpg are the only acceptable file formats) maybe sent via email to Lynn.Rogo@fsmta.org or mailed on CD to FSMTA, 978 Douglas Ave, Suite 104, Altamonte Springs, FL 32714

Please indicate when submitting if advertisement artwork is for what type of ad:

____Massage Message Magazine ____ Attendee Schedule ____Video Award Winner Wall Ad ____Cell Charging Station Ad ____Digital Signage ____Digital Kiosk

For more exciting updates, follow us on Facebook/Florida Massage Convention & Trade Show on Twitter @FLMassageConvention

ADVERTISING OPPORTUNITIES

12

Please note that the contact information you provide here is for communication and payment verification purposes. Only your company name and website are published. We send pertinent information via email, so please make sure you provide an accurate email address. Today’s Date: ____________________________

Company Name: ______________________________________________________________________

Contact Person: ______________________________________________________________________

Mailing Address: ______________________________________________________________________

Telephone: _____________________________ Fax: ______________________________

Email Address: _____________________________ Website: ___________________________

ITEM DESCRIPTION QTY/ PRICE SUBTOTAL Exhibit Booth (Please include contract on page 4 & 5) __________________________________________________ _____________ ___________ __________________________________________________ _____________ ___________

Lead Retrieval Scanner*- If paid in full by 01/31/13 FREE $0.00

- If paid in full before 3/30/13 $25 ___________

- If paid in full after 3/30/13 $50 ___________

Sponsorships

_______________________________________________ _____________ ___________ __________________________________________________ _____________ ___________ Advertising __________________________________________________ _____________ ___________ __________________________________________________ _____________ ___________ TOTAL DUE ___________

Only exhibit booths may be reserved with a 50% deposit, Today’s Payment > ___________ all other items must be paid in full to secure the opportunity.

Balance Owed After Deposit (Due no later than 4/30/13) > ___________ PAYMENT TYPE:

□ Check or Money Order made payable to FSMTA (mail only)

I authorize FSMTA to charge the amount indicated to my □ Visa □ MasterCard □ Discover □ American Express

Credit Card # ________________________________________Exp. Date __________ SVC __________

Cardholder’s Name (Please Print) ____________________________________________________________

Cardholder’s Signature ____________________________________________________________________ Return to FSMTA at 978 Douglas Ave # 104, Altamonte Springs, FL 32714 –OR– Fax: 877-224-2392

EXHIBITOR ORDER FORM

*Refundable Security Deposit of $100 required at time of scanner pickup.