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Florida Library Association

2014 Annual Conference
and Exhibits
May 7 - 8, 2014
Buena Vista Palace Hotel
Lake Buena Vista, FL

Exhibit, Sponsorship, and Advertising
Opportunities
•
•
•
•
•

Exhibitor Information
Exhibit Hall Floor Plan
Sponsorships
Advertising Opportunities
Hotel Accommodations

For more information or to register online, visit
https://www.regonline.com/2014FLAexhibits
The Florida Library Association is not in any way associated with
Construct Data Fair Guide and does not use this organization’s services in
any way. Any communications received by your company from Construct Data
are not related to the FLA conference.
Preliminary Schedule of Exhibit Hall Activities
Wednesday, May 7, 2014
12:00 noon to 3:30 p.m.

Exhibitor Move In

4:00 to 6:00 p.m.

Exhibits Open

5:00 to 6:00 p.m.

Exhibits Reception
FOR
MORE
INFORMATION

Thursday, May 8, 2014
8:30 a.m. to 4:00 p.m.

Exhibits Open

8:30 to 9:30 a.m.

Coffee Klatch in Exhibit Hall

9:30 to 10:30 a.m.

Coffee with Exhibitors (no conflict)

12:00 noon to 1:00 p.m.

Cash Lunch in Exhibit Hall

3:15 to 4:00 p.m.

Refreshment Break (no conflict) and
Door Prizes

4:00 to 5:30 p.m.

Exhibit Break Down

For questions related to
exhibiting and sponsoring
with the Florida Library
Association, please contact:
Sharon P. Gray, CMP
A Plan to Meet, Inc.
P.O. Box 6838
Tallahassee, FL 32314-6838
Telephone: 850-224-6222
Fax: (850) 877-7022
E-mail:
aplantomeet@earthlink.net

Security provided Wednesday night.
This preliminary schedule is subject to change. The full conference
schedule may be found at www.flalib.org

Recognition of
membership status
at your booth



Florida Libraries FLA’s semi-annual
journal



Your company
highlighted on the
FLA Web site



News on fast-breaking
library issues


Page 2



Annual dues only $200

To find out more about Organizational/Business Memberships visit:
www.flalib.org/membership.php
Exhibiting with FLA
The FLA conference is an outstanding way to contact both new
and established customers in the library community. Over 670
individuals from Florida’s innovative public, academic, school,
and special libraries attended FLA’s 2013 conference.
For maximum exhibit traffic, the following activities are planned
for the Exhibit Hall:
• No Conflict Times
• Refreshment Breaks and Thursday Lunch
• Interactive Activities for Attendees
• Silent Auction

FLA policy for 2014—Attendee Information
FLA will provide exhibitors registered to participate in the 2014
FLA Trade Show with a list of attendees (name, title,
library/organization, mailing address, phone number, and email
address) registered for the conference one month prior to the
conference and a final list the week following the conference.

Booth Package
All exhibitors receive the following:
• Draped 8’x10’ booth (8-foot backdrop and 36-inchhigh side dividers)
• One 6’ draped table, wastebasket, and 2 chairs
• One company ID sign
• Company listing in the conference program guide
• Conference registration for two company
representatives

Registration and Confirmation
A signed application for exhibit space must be received by
March 31, 2014 to receive the Early Exhibitor Registration rate
and to guarantee that your company information is included in
the conference program. However, booths will continue to be
sold until the exhibit hall is filled. Conference registration for two
company representatives is included with your exhibit booth
purchase. Any additional company representative must be registered on the registration form in this packet. Additional booth
staff have Exhibit Hall access only. Payment must accompany
your Registration for Sponsorship and Exhibits. You will receive
confirmation of the receipt of your application and payment.

Floor Plan
An Exhibit Hall floor plan is on page four of this brochure.
The floor plan was developed to make each booth space as
desirable as possible. Please submit your registration to exhibit
at the FLA Conference as early as possible for the best booth
selection.

Booth Assignments
You may list three booth preferences on your Application for
Sponsorship and Exhibits.
Booth assignments will be made after March 31, 2014. At that
time you will be notified of your booth assignment along with
any final details. While your requests will be taken into consid-

Fees

Early
Registration

Late
Registration

Regular Booth
Locations

$700

$800

$75 per
person

$100 per
person

Booth staff (in excess
of two included
with booth fee).
Exhibit Hall only;
does not include
conference activities
outside of Exhibit Hall.

eration, priority booth assignments will be given to 1) Sponsors, 2) Exhibitors purchasing multiple booths, 3) FLA business members, 4) Previous FLA exhibitors, and 5) Date application and payment received.

Terms and Conditions
Comprehensive information regarding insurance, liability,
security, property damage, etc. will be included with exhibit
confirmation.

Fire Regulations
In order to comply with local fire ordinances, all decorative
materials used at your booth must be flame resistant. No
volatile or flammable fluids, substances, or materials of any
nature prohibited by city fire regulations or insurance carriers
may be used in any exhibit booth.

Official Service Contractor
National Expo, Inc. is the official service contractor for the
2014 FLA Conference. A complete service kit with shipping
instructions for booth materials, electrical service, furnishings, order forms, and additional information will be sent to
each exhibitor approximately one month prior to the show.
All freight should be consigned and prepaid to the address
provided in the packet. Do not send freight to the Buena
Vista Palace Hotel.

Cancellation Policy
CANCELLATION REQUESTS MUST BE SUBMITTED IN
WRITING to A Plan to Meet, Inc. acting on behalf of the
Florida Library Association. Requests for refunds, less the
$100 administrative fee, must be received by March 31,
2014, No refund requests can be accepted after March 31,
2014. Refund requests received by March 31, 2014 will be
processed following the conclusion of the conference.
Exhibit space not occupied or reconfirmed by 3:00 p.m.
on Wednesday, May 7, 2014 will be considered forfeited
and may be reassigned.

Page 3

Exhibitor Information
Page 4
Envision Excellence

2014 Conference Sponsorship Opportunities
Events and Programs
Note: General Session and President’s Reception sponsors may
speak for two minutes during the program; co-sponsors will split this
opportunity.

Co-sponsor $2,000
1 available

Wednesday General Session
Friday General Session

Sponsors will be recognized with
conference signage and acknowledged:




$4,000 or co-sponsor $2,000 each


President's Reception &
Scholarship Fundraiser

$4,000 or co-sponsor $2,000 each

Reception in the Exhibit Hall

$3,000 or co-sponsor $1,500 each

Breakout Session Programs
(One minute welcome at 60,
75, & 90-minute break-out
sessions)

$550 each

CyberZone Technology
Showcase

$1,000 each

In the on-site Conference Program
given to every registrant.
With special sponsor ribbons for all
on-site personnel.
On a sign posted at your sponsored
event.
Company name on Exhibit Hall
entrance sign

In addition to the items above,
sponsorships of $2,000+ will include:
 1/4 page ad in the Conference
Program.
 Promotional item provided by you
inserted in the conference bag.
 Links from the FLA Conference Web
site.
 Special acknowledgement in the
Conference program

Refreshments
$750 each (4 available)

Labeling Opportunities
Conference Bags (SOLD)

$4,000

Conference Program (with back cover ad)

$2,500

Name Badge Neck Wallet

$2,000

Table Decorations used at two events

$1,000

SmartPhone Conference Program & Information

$500

For the most up-to-date list of sponsorship
options or to purchase a sponsorship, please
contact:

General Sponsorships
PLATINUM
GOLD
SILVER
BRONZE

In addition to the items above,
sponsorships of $4,000+ will include:
 An e-mail to all conference
attendees before the conference with
information about the company
and company contact information.
 Upgrade to a full-page ad in the
Conference program.

$2,500
$1,500
$1,000
$500

Sharon Gray
A Plan to Meet, Inc.
Telephone: (850) 224-6222
E-mail: aplantomeet@earthlink.net

Page 5

AM Coffee Breaks

In addition to the items above,
sponsorships of $2,500+ will include:
 Your company link posted on the FLA
Web site as a “Major Sponsor” and an
upgrade to a 1/2 page ad in the
Conference program.
Host Hotel and Room Reservations
Buena Vista Palace Hotel
1900 East Buena Vista Drive
Lake Buena Vista, FL 32830
www.buenavistapalace.com

Room Reservations can be made:
 By calling 1-866-246-6563 and referring to Group Name: Florida Library Association
 Online at this link https://reservations.ihotelier.com/crs/g_reservation.cfm?groupID=951818&hotelID=6579
Room Rates:
 Resort View Guest Rooms - Single/Double $139
 Water View, Downtown Disney View & Suites - $149 and up
 Check in time is 4:00 p.m.
 Check out time is 11:00 a.m.
Complimentary Hotel Services:
 Wired and Wireless in-room High Speed Internet (WebTV not included).
 Cyber Café (24 hour access) located on the first floor of the main building.
 Daily access to Fitness Center.
 In room coffee and tea.
 Disney Bus Transportation to Theme Parks and Nightly Transportation to Downtown Disney.
Notes:
 In order to receive the conference rate, reservations should be made prior to April 13, 2014.
 Reservations made after the cutoff date will be on a space and rate available basis at the
hotel’s discretion.

Page 6

 An Early Departure Fee equal to one night’s room and tax will be charged to the guest’s
account if guest fails to inform the hotel of a change in departure date at the time of check in.
 Self-parking is complimentary for all group attendees.
Advertising with FLA
Purchase advertising using this form
or on the Registration page that follows.

FLA Advertising Opportunities
√

PLACEMENT

RATE ($)

2014 Conference Print Program

  
  
  
  
  
  
  
  

Program Sponsor includes full back
cover of print
program
Inside front cover
Inside back cover
Full page
1/2 page
1/4 page
1/8 page

$2,500
$675
$675
$600
$400
$250
$150

FLA Web Site
  
  
  
  

3-month ad & link to
Web site
6-month ad & link to
Web site
1-year ad & link to
Web site

$250
$450
$800

Florida Libraries (electronic)
  
  
  
  
  
  
  
  

Inside front cover
Inside back cover
Back cover
Full page
1/2 page
1/4 page
1/8 page

$700
$700
$500
$600
$325
$200
$125

PAYMENT INFORMATION
Method of Payment:

□ Check

□ Visa

□ MasterCard

  
Card Owner Name (as it appears on card) 
  
Card Owner Signature 
  
Credit Card Number Expira on Date 
  
Card Owner Address 
  
Card Owner E‐mail & Telephone 
AUTHORIZATION

  
Authorized by (print name) 
 

 

 
Signature Date 
Mail or fax this Agreement to:
Florida Library Association
P.O. Box 1571
Lake City, FL 32056-1571
Telephone: (386) 438-5795
Fax: (386) 438-5796
For additional information, please contact the FLA Office
at (386) 438-5795 or e-mail:
flaexecutivedirector@comcast.net

Page 7

These expanded advertising options are
designed to maximize your investment and
strengthen your impact on key library
decision makers.

  
Company Name:  
  
Contact Person:  
  
Street Address:  
  
City/State/Zip Code:  
  
Telephone/Fax:  
  
E‐mail:  
Registration for FLA Sponsorship & Exhibits
May 7-8, 2014 - For online registration, please visit www.flalib.org

Please provide all requested information and print clearly. All communication will be via e-mail.

Company Name:
Exhibit Contact
Person:

Title:

Mailing Address:
City:

State:

Office:
E-mail:

(

)

-

Cell/Mobile: (

)

Zip:

-

Fax: (

)

-

Company’s Website:

Names of two company representatives to receive conference registration with exhibit registration:
  
E‐mail:   

1.   

  
E‐mail:   
2.   
Description of the products or services that your company provides (For the Conference Program, 30 word maximum.
Longer descriptions will be edited).

Booth number preference:

1.   

2.   

3.   

Fees
____ # Booths x $_______ = $_________Booth Fee $700 before March 31, 2014 and $800 after March 31, 2014
There is an additional fee for each company representative over two per booth.
____ # Additional Staff x $_______ = $_________ Additional Booth Staff $75 per person before March 31, 2014 & $100 thereafter.
Staff Names:
________ Sponsorships (Make selection from page 5), Sponsor Item:
________ Total from Advertising (Make selection from page 7), Advertisement Type:
________ 2014 Business Membership ($200)
________ TOTAL AMOUNT

Method of Payment
On behalf of my organization, I agree to pay the above amount for the FLA Conference and to comply with Exhibit rules.
Signature: ____________________________________________________________________
Please indicate method of payment.

□ Check or PO (made payable to FLA)

□ Credit Card

I authorize A Plan to Meet, Inc. on behalf of the Florida Library Association to charge my:

□ Visa

□ MasterCard

□ American Express

Credit Card #: _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _

□ Discover

Security Code: _________

Expiration Date: _________

Name as appears on card: ______________________________ Signature of card holder: _______________________

Page 8

Credit Card billing address: ________________________________ Telephone Number: _______________________
City: ______________________________________________________ State: ______ Zip Code: _______________
Mail, fax or e-mail, aplantomeet@earthlink.net, this form to FLA, c/o A Plan to Meet, Inc., P.O. Box 6838,
Tallahassee, FL 32314. Fax: (850) 877-7022.

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2014 Annual Conference and Exhibits

  • 1. Florida Library Association 2014 Annual Conference and Exhibits May 7 - 8, 2014 Buena Vista Palace Hotel Lake Buena Vista, FL Exhibit, Sponsorship, and Advertising Opportunities • • • • • Exhibitor Information Exhibit Hall Floor Plan Sponsorships Advertising Opportunities Hotel Accommodations For more information or to register online, visit https://www.regonline.com/2014FLAexhibits The Florida Library Association is not in any way associated with Construct Data Fair Guide and does not use this organization’s services in any way. Any communications received by your company from Construct Data are not related to the FLA conference.
  • 2. Preliminary Schedule of Exhibit Hall Activities Wednesday, May 7, 2014 12:00 noon to 3:30 p.m. Exhibitor Move In 4:00 to 6:00 p.m. Exhibits Open 5:00 to 6:00 p.m. Exhibits Reception FOR MORE INFORMATION Thursday, May 8, 2014 8:30 a.m. to 4:00 p.m. Exhibits Open 8:30 to 9:30 a.m. Coffee Klatch in Exhibit Hall 9:30 to 10:30 a.m. Coffee with Exhibitors (no conflict) 12:00 noon to 1:00 p.m. Cash Lunch in Exhibit Hall 3:15 to 4:00 p.m. Refreshment Break (no conflict) and Door Prizes 4:00 to 5:30 p.m. Exhibit Break Down For questions related to exhibiting and sponsoring with the Florida Library Association, please contact: Sharon P. Gray, CMP A Plan to Meet, Inc. P.O. Box 6838 Tallahassee, FL 32314-6838 Telephone: 850-224-6222 Fax: (850) 877-7022 E-mail: aplantomeet@earthlink.net Security provided Wednesday night. This preliminary schedule is subject to change. The full conference schedule may be found at www.flalib.org Recognition of membership status at your booth  Florida Libraries FLA’s semi-annual journal  Your company highlighted on the FLA Web site  News on fast-breaking library issues  Page 2  Annual dues only $200 To find out more about Organizational/Business Memberships visit: www.flalib.org/membership.php
  • 3. Exhibiting with FLA The FLA conference is an outstanding way to contact both new and established customers in the library community. Over 670 individuals from Florida’s innovative public, academic, school, and special libraries attended FLA’s 2013 conference. For maximum exhibit traffic, the following activities are planned for the Exhibit Hall: • No Conflict Times • Refreshment Breaks and Thursday Lunch • Interactive Activities for Attendees • Silent Auction FLA policy for 2014—Attendee Information FLA will provide exhibitors registered to participate in the 2014 FLA Trade Show with a list of attendees (name, title, library/organization, mailing address, phone number, and email address) registered for the conference one month prior to the conference and a final list the week following the conference. Booth Package All exhibitors receive the following: • Draped 8’x10’ booth (8-foot backdrop and 36-inchhigh side dividers) • One 6’ draped table, wastebasket, and 2 chairs • One company ID sign • Company listing in the conference program guide • Conference registration for two company representatives Registration and Confirmation A signed application for exhibit space must be received by March 31, 2014 to receive the Early Exhibitor Registration rate and to guarantee that your company information is included in the conference program. However, booths will continue to be sold until the exhibit hall is filled. Conference registration for two company representatives is included with your exhibit booth purchase. Any additional company representative must be registered on the registration form in this packet. Additional booth staff have Exhibit Hall access only. Payment must accompany your Registration for Sponsorship and Exhibits. You will receive confirmation of the receipt of your application and payment. Floor Plan An Exhibit Hall floor plan is on page four of this brochure. The floor plan was developed to make each booth space as desirable as possible. Please submit your registration to exhibit at the FLA Conference as early as possible for the best booth selection. Booth Assignments You may list three booth preferences on your Application for Sponsorship and Exhibits. Booth assignments will be made after March 31, 2014. At that time you will be notified of your booth assignment along with any final details. While your requests will be taken into consid- Fees Early Registration Late Registration Regular Booth Locations $700 $800 $75 per person $100 per person Booth staff (in excess of two included with booth fee). Exhibit Hall only; does not include conference activities outside of Exhibit Hall. eration, priority booth assignments will be given to 1) Sponsors, 2) Exhibitors purchasing multiple booths, 3) FLA business members, 4) Previous FLA exhibitors, and 5) Date application and payment received. Terms and Conditions Comprehensive information regarding insurance, liability, security, property damage, etc. will be included with exhibit confirmation. Fire Regulations In order to comply with local fire ordinances, all decorative materials used at your booth must be flame resistant. No volatile or flammable fluids, substances, or materials of any nature prohibited by city fire regulations or insurance carriers may be used in any exhibit booth. Official Service Contractor National Expo, Inc. is the official service contractor for the 2014 FLA Conference. A complete service kit with shipping instructions for booth materials, electrical service, furnishings, order forms, and additional information will be sent to each exhibitor approximately one month prior to the show. All freight should be consigned and prepaid to the address provided in the packet. Do not send freight to the Buena Vista Palace Hotel. Cancellation Policy CANCELLATION REQUESTS MUST BE SUBMITTED IN WRITING to A Plan to Meet, Inc. acting on behalf of the Florida Library Association. Requests for refunds, less the $100 administrative fee, must be received by March 31, 2014, No refund requests can be accepted after March 31, 2014. Refund requests received by March 31, 2014 will be processed following the conclusion of the conference. Exhibit space not occupied or reconfirmed by 3:00 p.m. on Wednesday, May 7, 2014 will be considered forfeited and may be reassigned. Page 3 Exhibitor Information
  • 5. Envision Excellence 2014 Conference Sponsorship Opportunities Events and Programs Note: General Session and President’s Reception sponsors may speak for two minutes during the program; co-sponsors will split this opportunity. Co-sponsor $2,000 1 available Wednesday General Session Friday General Session Sponsors will be recognized with conference signage and acknowledged:    $4,000 or co-sponsor $2,000 each  President's Reception & Scholarship Fundraiser $4,000 or co-sponsor $2,000 each Reception in the Exhibit Hall $3,000 or co-sponsor $1,500 each Breakout Session Programs (One minute welcome at 60, 75, & 90-minute break-out sessions) $550 each CyberZone Technology Showcase $1,000 each In the on-site Conference Program given to every registrant. With special sponsor ribbons for all on-site personnel. On a sign posted at your sponsored event. Company name on Exhibit Hall entrance sign In addition to the items above, sponsorships of $2,000+ will include:  1/4 page ad in the Conference Program.  Promotional item provided by you inserted in the conference bag.  Links from the FLA Conference Web site.  Special acknowledgement in the Conference program Refreshments $750 each (4 available) Labeling Opportunities Conference Bags (SOLD) $4,000 Conference Program (with back cover ad) $2,500 Name Badge Neck Wallet $2,000 Table Decorations used at two events $1,000 SmartPhone Conference Program & Information $500 For the most up-to-date list of sponsorship options or to purchase a sponsorship, please contact: General Sponsorships PLATINUM GOLD SILVER BRONZE In addition to the items above, sponsorships of $4,000+ will include:  An e-mail to all conference attendees before the conference with information about the company and company contact information.  Upgrade to a full-page ad in the Conference program. $2,500 $1,500 $1,000 $500 Sharon Gray A Plan to Meet, Inc. Telephone: (850) 224-6222 E-mail: aplantomeet@earthlink.net Page 5 AM Coffee Breaks In addition to the items above, sponsorships of $2,500+ will include:  Your company link posted on the FLA Web site as a “Major Sponsor” and an upgrade to a 1/2 page ad in the Conference program.
  • 6. Host Hotel and Room Reservations Buena Vista Palace Hotel 1900 East Buena Vista Drive Lake Buena Vista, FL 32830 www.buenavistapalace.com Room Reservations can be made:  By calling 1-866-246-6563 and referring to Group Name: Florida Library Association  Online at this link https://reservations.ihotelier.com/crs/g_reservation.cfm?groupID=951818&hotelID=6579 Room Rates:  Resort View Guest Rooms - Single/Double $139  Water View, Downtown Disney View & Suites - $149 and up  Check in time is 4:00 p.m.  Check out time is 11:00 a.m. Complimentary Hotel Services:  Wired and Wireless in-room High Speed Internet (WebTV not included).  Cyber Café (24 hour access) located on the first floor of the main building.  Daily access to Fitness Center.  In room coffee and tea.  Disney Bus Transportation to Theme Parks and Nightly Transportation to Downtown Disney. Notes:  In order to receive the conference rate, reservations should be made prior to April 13, 2014.  Reservations made after the cutoff date will be on a space and rate available basis at the hotel’s discretion. Page 6  An Early Departure Fee equal to one night’s room and tax will be charged to the guest’s account if guest fails to inform the hotel of a change in departure date at the time of check in.  Self-parking is complimentary for all group attendees.
  • 7. Advertising with FLA Purchase advertising using this form or on the Registration page that follows. FLA Advertising Opportunities √ PLACEMENT RATE ($) 2014 Conference Print Program                         Program Sponsor includes full back cover of print program Inside front cover Inside back cover Full page 1/2 page 1/4 page 1/8 page $2,500 $675 $675 $600 $400 $250 $150 FLA Web Site             3-month ad & link to Web site 6-month ad & link to Web site 1-year ad & link to Web site $250 $450 $800 Florida Libraries (electronic)                         Inside front cover Inside back cover Back cover Full page 1/2 page 1/4 page 1/8 page $700 $700 $500 $600 $325 $200 $125 PAYMENT INFORMATION Method of Payment: □ Check □ Visa □ MasterCard    Card Owner Name (as it appears on card)     Card Owner Signature     Credit Card Number Expira on Date     Card Owner Address     Card Owner E‐mail & Telephone  AUTHORIZATION    Authorized by (print name)        Signature Date  Mail or fax this Agreement to: Florida Library Association P.O. Box 1571 Lake City, FL 32056-1571 Telephone: (386) 438-5795 Fax: (386) 438-5796 For additional information, please contact the FLA Office at (386) 438-5795 or e-mail: flaexecutivedirector@comcast.net Page 7 These expanded advertising options are designed to maximize your investment and strengthen your impact on key library decision makers.    Company Name:      Contact Person:      Street Address:      City/State/Zip Code:      Telephone/Fax:      E‐mail:  
  • 8. Registration for FLA Sponsorship & Exhibits May 7-8, 2014 - For online registration, please visit www.flalib.org Please provide all requested information and print clearly. All communication will be via e-mail. Company Name: Exhibit Contact Person: Title: Mailing Address: City: State: Office: E-mail: ( ) - Cell/Mobile: ( ) Zip: - Fax: ( ) - Company’s Website: Names of two company representatives to receive conference registration with exhibit registration:    E‐mail:    1.       E‐mail:    2.    Description of the products or services that your company provides (For the Conference Program, 30 word maximum. Longer descriptions will be edited). Booth number preference: 1.    2.    3.    Fees ____ # Booths x $_______ = $_________Booth Fee $700 before March 31, 2014 and $800 after March 31, 2014 There is an additional fee for each company representative over two per booth. ____ # Additional Staff x $_______ = $_________ Additional Booth Staff $75 per person before March 31, 2014 & $100 thereafter. Staff Names: ________ Sponsorships (Make selection from page 5), Sponsor Item: ________ Total from Advertising (Make selection from page 7), Advertisement Type: ________ 2014 Business Membership ($200) ________ TOTAL AMOUNT Method of Payment On behalf of my organization, I agree to pay the above amount for the FLA Conference and to comply with Exhibit rules. Signature: ____________________________________________________________________ Please indicate method of payment. □ Check or PO (made payable to FLA) □ Credit Card I authorize A Plan to Meet, Inc. on behalf of the Florida Library Association to charge my: □ Visa □ MasterCard □ American Express Credit Card #: _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _ □ Discover Security Code: _________ Expiration Date: _________ Name as appears on card: ______________________________ Signature of card holder: _______________________ Page 8 Credit Card billing address: ________________________________ Telephone Number: _______________________ City: ______________________________________________________ State: ______ Zip Code: _______________ Mail, fax or e-mail, aplantomeet@earthlink.net, this form to FLA, c/o A Plan to Meet, Inc., P.O. Box 6838, Tallahassee, FL 32314. Fax: (850) 877-7022.