Registration/payment for Spring Meeting Table-Top Exhibit Application

Utah Health Care Association presents the Annual UHCA Spring Membership Meeting.

Please use the form below to reserve your exhibit space.

  • NEW THIS YEAR: Booths will be assigned this year due to multiple request. Please review the floorplan and choose your top 3 booths. We will try to accomodate!
  • It is understood that UHCA, the venue, and their agents, servants or employees will not be held responsible for any injury to exhibitors of their employees while on the premises, or for loss or damage to equipment or display for any cause whatsoever. (Please¬†check with your insurance carrier for appropriate coverage while exhibiting at the meeting.)
  • Cancellation of Registration 90 days prior to the event is entitled to a full refund, One Month prior is half refund. Anything 30 days or less there will be NO refund.
YOUR SIGNATURE: It is understood that UHCA, Dixie State University, and their agents, servants or employees will not be held responsible for any injury to exhibitors of their employees while on the premises, or for loss or damage to equipment or display for any cause whatsoever. (Please check with your insurance carrier for appropriate coverage while exhibiting at the meeting.)
*Cancellation of Registration 90 days prior to Event is entitled to a Full Refund, One Month prior to the Event is half a refund and anything 30 days or less will be NO Refund.
Total Amount
$
Payment method *
Credit Card Number*
Expiration Date*
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Card (CVV) Code*
Card Holder Name*
Verification code*