27th Annual Texas Autism Conference Application for Exhibit Space
August 1-2, 2019
Hyatt Regency San Antonio Riverwalk
Application does not guarantee acceptance (please initial) *
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Exhibitor Fee: (Instructions for payment will be sent to selected exhibitors)
8X8 Booth Space Exhibitor Fee $649 and donation of gift for drawing (minimum $30 value) includes:
*8X8 Exhibit Space
*One 6-foot table
*Two Chairs
*Wastebasket
*Conference credentials for two organization representatives

Table Top Exhibitor Fee $499 and donation of gift for drawing (minimum $30 value) includes:
*One 6-foot table
*Two Chairs
*Wastebasket
*Conference credentials for two organization representatives

Exhibitor Fee *
Number of Exhibit Spaces *
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Organization/Company Name (As it should appear on booth sign) *
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Contact Name *
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Mailing Address *
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Email Address *
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Phone Number *
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Please provide a description of product/service to be displayed (Limit 25 words) *
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Badge #1 Name and Title *
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Badge #1 Email Address *
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Badge #2 Name and Title *
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Badge #2 Email Address (for registration purposes, cannot be the same email address as Badge #1) *
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Please read the complete Exhibitor/Author Display Regulations found on the website at: https://txautism.esc2.net/. By providing your e-signature below, you are indicating that you have read and agree to the terms and conditions outlined in the Exhibitor/Author Display Regulations. *
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HOLD HARMLESS CLAUSE - We submit the following "Hold Harmless Clause" which is part of our Exhibitor/Author Display Regulations. "The exhibitor assumes the entire responsibility and liability for losses, damage and claims arriving out of injury or damage to exhibitor's displays, equipment and other property brought upon the premises of the Hyatt Regency San Antonio Riverwalk, and shall indemnify and hold harmless ESC2, the conference planner, and the Hyatt Regency San Antonio Riverwalk personnel from any and all such losses, damages and claims." Please enter e-signature below. *
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CANCELLATION POLICY - Full refunds, minus a $50 administrative fee, will be for space canceled if requested, IN WRITING, and postmarked on or before June 15, 2019. Please enter e-signature below. *
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ACKNOWLEDGEMENT - Exhibitor acceptance is contingent upon ESC2 receipt of payment in full, including donation of gift for drawing (minimum $30 value). Please enter e-signature below. *
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