application/contract for exhibit space la
TRANSCRIPT
4901 York Blvd.Los Angeles CA 90042 Exhibit Dates:Phone: (323) 255-5848 Fax: (323) 255-5848 September 7 - September 8, 2012
Hilton Los Angeles/Universal City Universal City, CA
$1,000.00 per booth, made payable to Los Ange-
country, customer service phone, fax numbers, E-mail and Website address as shown on this form are for use in the Program and Exhibit Guide.
Company Name
Address
City, State/Country, Zip Code
Company E-mail Website
Customer Service Telephone ( ) Fax
Exhibit Contact Person Title
E-mail Fax
Contact Telephone ( ) Extension
Telephone ( ) Extension
Size of Booth Space 8 x 8 Total number of Booths requested
Number of Booths x $1000.00 = Total deposit enclosed $
APPLICATIONS RECEIVED WITHOUT FULL PAYMENT PER BOOTH WILL NOT BE PROCESSED.
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1. 2. 3. 4.
5. 6. 7. 8.
THE LOS ANGELES DENTAL MEETING DOES NOT ASSUME ANY LIABILITY OR RESPONSIBILITY FOR ANY TYPOGRAPHICAL ERRORS,
OMISSIONS OR INACCURACIES OF ANY KIND IN ANY OF ITS PUBLICATIONS.
AUTHORIZED SIGNATURE TITLE DATE
PRINT FULL NAME
APPLICATION/CONTRACT FOR EXHIBIT SPACE
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AB05 Abrasives, Disks/Points/WheelsAC05 Acrylics & AccessoriesAI04 Air AbrasivesA105 Air CompressorsAL05 AlloysAM05 AmalgamatorsAN05 Analgesia/Anesthesia Equipment & SuppliesAN06 AnalgesicsAN08 Anatomical ModelsAN10 AnestheticsAN12 Antibacterial Soaps & DetergentsAN14 AntibioticsAP05 Apex LocatorsAR05 Articulating Paper, Film/RibbonAR06 ArticulatorsAS05 Asepsis ProductsAT05 AttachmentsAU05 Audiovisual Equipment & MaterialsAU08 Autoclaves & AccessoriesBL02 Bleaching ProductsBL05 Blood Pressure Diagnostic InstrumentsBO05 Bonding AgentsBO07 Bone-Grafting MaterialsBO09 Bookkeeping SystemsBO11 BooksBU05 Burs, All TypesBU07 Business & Finance ServiceBU08 Business Systems & EquipmentCA03 CabinetsCA04 CAD/CAM SystemsCA06 Cameras, Extra OralCA07 Cameras, Intra OralCA09 Casting Machines & AccessoriesCA10 Casting AlloysCE05 Cements, All TypesCH05 Chairs & AccessoriesCH08 Chewing GumCL05 Claim ProcessingCL08 CleansersCO05 Collection ServicesCO07 Communication SystemsCO09 Composite Instruments & AccessoriesCO11 CompositesCO15 Computer Hardware/SoftwareCO17 Computer ImagingCO20 Continuing Education & TrainingCO21 Cosmetic RestorationsCO22 Cotton ProductsCR05 Crowns and/or Crown & Bridge MaterialsCU05 Curing Units
DA05 Darkroom Equipment & SuppliesDE05 Dental DealersDE06 Dental Equipment, Mobile/PortableDE07 Dental Hygiene MaterialsDE08 Dental LaboratoriesDE09 Dental Lab Equipment & SuppliesDE10 DentalOfficeDesignDE12 DentifricesDE14 Denture AdhesivesDE15 Denture Base, Reline, Repair ResinsDE16 Denture CleanersDI05 Diagnosis & Testing ServicesDI07 Diagnostic Equipment, All Types & ServicesDI09 Diamond Points & DisksDI12 Dietary ProductsDI13 Digital ImagingDI14 Digital RadiographyDI15 Disinfecting SolutionsDI16 Disks, Mandrels & StripsDI18 Disposable NeedlesDI20 Disposable ProductsDR05 Dry Air Systems, FiltrationED05 Education MaterialsEL05 Electrosurgical EquipmentEM05 Emergency Drugs/EquipmentEN05 Endodontic Instruments & SuppliesEQ05 Equipment LeasingEQ06 Equipment Repair & MaintenanceEV05 Evacuators & Evacuator SystemsEX05 Exercise EquipmentEY05 Eyewear, ProtectiveFI05 Fiber Optic ProductsFI08 Filling Materials & AccessoriesFI10 Financial Planning & ServicesFL05 Flossing MaterialsFL08 Flouride ProductsFU05 FurnacesGL05 GlovesGR05 Group Health PlansHA05 Handcare Products & ServicesHA07 Handpieces, Operating & LaboratoryIM05 Implant Systems & DevicesIM07 Impression MaterialsIN05 Infection Control ProductsIN07 Instruments (Hand), GeneralIN09 Instruments (Hand), SurgicalIN12 InsuranceIN14 Interior DecoratingIN15 Internet ServicesIN16 Intraoral Video CamerasIN18 Investment Materials & Equipment
IN19 Investment ServicesIR05 IrrigatorsLA05 Laboratory Equipment & SuppliesLA07 LasersLA09 Lathes, ChucksLA12 Laundry ServicesLE01 LeasingLI05 Lights, OperatingLI06 Lights, OtherLO05 LoupesLU05 LubricantsMA05 Marketing Aids & ResearchMA08 MasksME05 Medical Waste ServicesME07 MedicamentsME09 Metal,Recovery&RefiningMI05 MicroscopesMI08 Mirrors (Hand)MO05 Model Forming Tools & AccessoriesMO06 Models DemonstrationMO09 Mouthwashes (Rinses)NU05 Nutrional ProductsOF05 OfficeEquipment, Furniture/DecorOF06 OfficeSuppliesOP05 Operating Room Supplies & EquipmentOP06 Optical AidsOR05 Oral Hygiene AidsOR06 Oral Irrigation DevicesOR09 Orthodontic Materials & AccessoriesOS05 OSHA Compliance Products/ServicesOT01 OtherPA05 Pads, MixingPA08 Paper ProductsPA10 Patient Financing ServicesPA11 Patient Record FormsPA21 Patient Education MaterialsPE03 Periodicals, Professional/ ScientificPE05 Periodontal Exam SystemsPE06 Periodontal MaterialsPE09 Personnel ServicesPH05 PharmaceuticalsPH08 Photographic Equipment & SuppliesPI05 PinsPI08 Pit & Fissure SealantsPL08 Plating Equipment & SuppliesPO05 Porcelain ProductsPO06 Portable Delivery SystemsPR05 Practice Marketing ServicesPR07 Practice SalesPR10 Preventive Dentistry ProductsPR12 Prophylaxis Angles & KitsPR13 Prophylaxis Brushes & Cups
PR15 Prophylaxis MaterialsPR17 Protective CoveringsPR21 Prosthetic & Laboratory SuppliesPU02 Publications, Professional & ScientificPU05 Pulp TestersRE05 Record Keeping SystemsRE08 Repair Kits, DentureRE09 Repair ServicesRE10 Restorative Materials & AccessoriesRE11 Retirement ProgramsRE13 Retraction MaterialsRU05 Rubber Dam & AccessoriesSA05 Saliva EjectorsSA10 Saliva, SyntheticSC05 ScalersSC06 Scalers, UltrasonicSH05 Sharpeners, InstrumentSN01 Snoring AppliancesSO05 Soaps & LotionsSO08 Solder, FluxesSK03 Skin Care ProductsST05 SterilizersST06 Sterilizer AccessoriesST07 Sterilizing & Disinfecting SolutionsST10 Stools, LabST11 Stools, OperatorySU05 Surgical SuppliesSU08 SuturesSY05 SyringesTE05 Teeth,ArtificialTE08 Telecom, Services & EquipmentTM05 TMD Diagnostic & Treatment ProductsTO05 Tooth Shade GuidesTO07 Tooghbrushes, HandTO09 Toothbrushes, PowerTO12 TorchesTO14 Toys & NoveltiesTR05 Trays, ImpressionUL05 Ultrasonic Equipment & SuppliesUN05 Uniforms, Gowns/ShoesUN08 Units & ComponentsUP05 UpholsteryVA05 Vacuum Investing MachinesVA07 Vacuum Units & AccessoriesVA10 VarnishesVI05 Vibrators & AccessoriesWA02 Waterline Filtration SystemsWA05 Wax Patterns, Molds/RemoversWA07 Waxes & AccessoriesXR05 X-Ray Film & SuppliesXR06 X-Ray Machines & EquipmentXR07 X-Ray Processors & Accessories
PRODUCT CLASSIFICATION FORM
1-2 booths...up to 6 product listings 3-4 booths...up to 8 product listingsThe table below indicates the maximum listings allowed to an exhibitor:
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