EXHIBIT APPLICATION ROUND 1 DEADLINE FOR SPACE ASSIGNMENTS: MAY rd MIDWINTER MEETING FEB , 2018

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1 EXHIBIT APPLICATION ROUND 1 DEADLINE FOR SPACE ASSIGNMENTS: MAY 31 Applications received after this date will be accumulated until all the first round assignments have been made and confirmed. Exhibitors whose applications are received after June 5 will be included in Round 2 booth assignments CDS USE ONLY: Date: ID#: TYPE OR PRINT THIS APPLICATION. INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED. SIGN AND RETURN A COPY WITH APPROPRIATE DEPOSIT. SEND APPLICATION AND DEPOSIT TO: Chicago Dental Society, P.O. Box 6500, Chicago, IL PRICING: All booths are 10 x 10 (3.04 m x 3.04 m) Standard booth: $3,700; Corner booth: $4,100; Aisle Space: $3,700; Meeting Room: $3,250 PAYMENT: Wire Transfer Check/Cashier s Check DEPOSIT $1,000 booth space request per 10 x 10 booth space requested; $1,000 per 10 x 12 meeting room space requested Booth space will not be assigned without a deposit. All deposits must be made in U.S. funds drawn on a U.S. bank. Balance due August 15. Exhibitors who wish to pay by American Express, Mastercard or Visa must apply for exhibit space using the interactive form found online only at International exhibitors deposit: All international exhibitors must pay the entire booth rental fee when they submit their application. First-time Exhibitor (Include company literature for review of eligibility.) COMPANY INFORMATION (The company name will appear in all Midwinter Meeting publications and badges as shown on this form.) Exhibited previously under former company name (If applicable): Address: City / state or country / zip or postal code: Customer service phone: Customer service fax: Customer service Website: EXHIBITOR CONTACT INFORMATION (This address will be used to mail/ all CDS exhibit-related materials. Not for publication.) Exhibitor contact person/title: Address: Same as above City / state or country / zip or postal code: Exhibitor contact phone: mobile: Fax: Exhibitor contact (required): Contact Signature: Date: Yes, I have read the prospectus and agree to abide by all provisions, rules and regulations. Continued rd MIDWINTER MEETING FEB , N. Michigan Ave., Suite 200, Chicago, IL P: F: E: mwm@cds.org

2 COMPANY TYPE Manufacturer Rep Distributor Lab Laser Supplier Precious Metals Other: Specify: SPACE REQUESTS Number of meeting rooms requested: Number of booths requested: Configuration: Standard Corner Peninsula Island Other (Note: Exhibitors who wish to reserve an island booth space must also purchase the additional two booths needed to create the island) Physical dimensions of your booth (include booths to create an island if applicable): If available, these are our booth preferences: (If requesting an Island or Peninsula booth, list all numbers desired.) SPACE PREFERENCES We realize that CDS may be unable to accommodate our booth location/choices. (Exhibitors must check box as a condition for CDS to accept their application.) First choice: Third choice: Second choice: Fourth choice: Same as last year: Check one: Corner booth required Island only Peninsula only Other: SPECIAL REQUESTS List special requests for consideration in booth assignments (i.e. companies you do not wish to be located near or next to). List specific company name(s) not products/services. CDS will make every effort to accommodate your requests, but can not guarantee that you will not be near or next to a competitor.

3 PRODUCTS/SERVICES LISTING FORM Complete this form and return it to CDS to have your company listed on and our Midwinter Meeting mobile app. EXHIBITOR INFO Exhibit contact person: Address: City / State or Country / Zip or Postal Code: Exhibit contact phone: Fax: (required): COMPANY TYPE: Manufacturer Rep Distributor Lab Laser Supplier Precious metals Other: EXHIBIT PRODUCTS: Check up to 10 products or services. Return this form with application to CDS. 3-D cone beam Abrasives, abrasive disks, points and wheels Abrasives: Ceramic Acrylic stains Acuators Adhesive and stain removal Adjunctive oral screening device Advertising AED (Defibrillators) Air abrasion Air compressors Air polishers Alginate mixer Alginate syringe Alginates Alloys, casting Alloys, precious and non-precious Amalgam recovery Amalgam separators Amalgamators Analgesia equipment and supplies Analgesics Anatomical models Anesthetic, topical Anesthetics, local and accessories Animation art Antibacterial soaps and detergents Antibiotics Anti-retraction connector Anti-snoring appliance Apex locators Applicators/brushes Architecture, design, construction Articulating paper Articulators and accessories Asepsis products Assay and refining Assistant stools Associations Attachments Audiovisual equipment and material Autoclave cleaner Autoclaves Autoclaves: Water Automated appointment reminders Banking Bio-medical waste disposal Bite guards Bleaching Products Bleaching splints Blood pressure diagnostic instruments Bonding agents Bone grafting materials synthetic/implants Bone regeneration Books, professional/scientific Bullion gold/silver Bur stands Burners Burs, all types Business and financial service Business equipment/office supplies Business systems, equipment Business valuations Cabinets CAD/CAM blocks CAD/CAM equipment Camera covers intraoral Cameras, extraoral Cameras, intraoral Caries detection aid Caries susceptibility testing Caries treatment products Casting machines Casting, chromium-cobalt alloys Casting, gold alloys CBCT Cements, all types Centric registration Central gas supply systems nitrous oxide/oxygen Certification agency Chairs and accessories Charitable programs Chewing gum Cleaning devices Cleaning solutions Clearing house Cold/canker sore treatments Collection services Color matching systems Composite resin products Computer consultants Computer hardware Computer networking Computer software Cone bean CT unit Conscious sedation systems Consulting services Construction manager Continuing education and training Core build-up materials Cosmetic dentistry Cosmetic imaging Cosmetic mouthwashes Cotton products CPU and/or flat screen mounting Credit card processing Credit services Crown and bridge removers Crowns, crown/bridge materials Curing lights Custom reception DVD presentation Darkroom equipment and supplies Database provider Defibrillators Delivery equipment Dental artwork/collectibles Dental attorney Dental chair comfort products Dental dealers Dental demonstration models Dental device manufacturer Dental dressings Dental exhibit-scientific meetings Dental film digitizers 153rd MIDWINTER MEETING FEB , N. Michigan Ave., Suite 200, Chicago, IL P: F: E: mwm@cds.org

4 Dental hygiene materials Dental imaging accessories Dental laboratories Dental laboratory products Dental personnel advertisements Dental professional publications Dental referrals Dental specialty cabinetry Dental telescopes Dental waterlines Dental surgical devices Dentifrice Denture adhesives/adherents Denture base/reline and repair resins Denture cleaners Denture curing units Denture essentials kit Denture kits Denture materials Denture training programs Desensitizers Diagnostic equipment Diamond discs Die materials Die spaces and hardeners Die stone for impressions Dietary products Digital denture Digital imaging Digital imaging scanner Digital imaging software Digital impression system Digital measuring devices Digital radiography Digital sensor accessories Directory services Discount dental plan Discs, mandrels and strips Disinfecting solutions Disposable nasal hoods Disposable needles Disposable products Disposable waste products Distillers Dosimetry Dryfield illuminators Dynamic face bow Educational materials laboratory/practice Educational materials, patient and doctor Electric handpieces Electric HP motor Electrodes Electronic billing Electronic charting Electronic claims Electrosurgical equipment provider Emergency equipment Emergency kits (professional) Employment services Endodontic boxes Endodontic files Endodontic instruments and supplies Energy efficient lighting Entertainment products Ergonomic seating Environmental protection equipment and supplies Equipment repair and maintenance Evacuators and evacuator systems Eyeware, protective Fiber optic curing products Fiber optic headlights Fiber optic illumination products Fiber optic instruments Fiber reinforcement products Filling materials and accessories Finance company Financial advisory and services Fixed/removable prosthetics Flasks Flexible partials Floss, all types Flowables Fluorescent bulbs Fluoride products Fluoride varnish Foundations Full service dental dealer Full spectrum lighting Furnaces General contractor Glass ionomers Gloves Graphic design branding Group practice Gutta percha products Gypsum products Hand instruments Hand sanitizer Handpiece connectors Handpiece: Fiber optic Handpiece illumination (other than fiber optic) Handpiece lubricants Handpiece repair Handpieces, operating and laboratory Hands-free faucet controller Hazardous waste and containment services Head-mounted surgical microscope Headlights for loupes Home study courses/cds/dvds Hot towels Humanitarian organizations Hydrocolloid Hygiene air polishing Imaging software Implant and oral surgery instruments Implant and oral surgery systems Implant motors Implant motors cart systems Implants and accessories Implants, crowns Implementation services Impression materials Impression trays Imprinted promotions Incentive materials, patient Infant toothbrushes Infection control products Injection comfort system Inlays/onlays Instrument management Instrument sharpener Instrument washers Instruments: Diamond Instruments: Laboratory carbide Instruments: Operating and accessories Instruments: Surgical Instruments: Tungsten carbide Insurance Insurance: Benefits, 401(k) Insurance: Data breach Insurance: EPLI Integrated toothbrush Intercommunication systems Interdental cleaners Internet services Intraoral camera covers Intraoral cameras Intraoral sandblaster-micro etcher Intraosseous anesthesia Inventory software Investment materials and equipment Irrigators Isolation Journals Laboratory equipment Laboratory products Lasers Lead recovery Leasing companies LED headlights LED portable light source Legal services Light curing Light defusers Lights other Lights, operating Line cleaner Loupes Malpractice insurance Management training Mandibular muscle evaluation Mandrels Market research Masks Matrices and matrix systems Medicaments Membership resources Metal recovery, refining Microscopes Microsurgery tools and posts Milling machines Mobile dental clinics Molds, provisional restorations Molds, wax pontics Monitors Mouth mirrors Mouthguards Mouthwashes New income center New patient generator New practice start-up Newsletters Nightguards Non-bleach whitening Non-precious solder Non-profit volunteer organizations Nutritional products Obturation devices Occlusal exam systems Occlusion test materials

5 Odor control Office communication systems Office décor Office design Office furniture Office management software Office organization Office supplies On-hold messaging Online buying resource Online team education materials Operating lights (extraoral) Operating lights (intraoral) Operating room supplies and equipment Operating units Optical aids Oral cancer screening device Oral hygiene aids Oral irrigation devices Oral rinses Oral screening products Oral surgery instruments Oral treatment, herpes, ulcers Orthodontic appliances Orthodontic equipment Orthodontic materials OSHA/HIPAA compliance training Outsourcing Oxygen and/or anesthesia equipment Ozone generator Panoramic images Paper products Patient comfort products Patient Communications Patient education software Patient financing Patient reminder services Patient reminder software Pediatric crowns Periodicals, professional/scientific Periodontal diagnostic products Periodontal exam systems, computerized Periodontal instruments and supplies Personnel staffing Pharmaceuticals (drugs) Photographic equipment/supplies/accessories Physical and mental health Pin drill machine Pit and fissure sealants Plaque and gingivitis mouth rinses Plastic packaging materials Polishers Porcelain composites Porcelain products and accessories Porcelain repair kit Portable delivery systems Portable dental equipment Portable halogen headlights Posts and pins Practice acquisitions real estate Practice financing Practice management Practice marketing Practice renovations/relocations Practice sales Practice start-ups Precision attachments Precious metal refining Pressure curing units Preventive dentistry products Printed materials Private technician training Procurement software Professional dental publications Prophy paste Prophy polishing powder Prophylaxis angles and kits Prosthetic and laboratory supplies Portable dental equipment Protective coverings Protective dental jackets Publishing marketing Pulp testers Radiation detection Radio surgical equipment and accessories Real Estate Record keeping systems Recruiting Refining Regeneration products Reinforcement Restorative instruments Restorative materials and accessories Retipping and resharpening service Retirement plans Retraction cords Retraction-tissue management Retractors Rotary instruments Rubber dam Rubber dam clamps Saliva absorbent pads Saliva blockers Saliva ejector Salivary diagnostics Scavenging circuits Sealing/stain removal devices Search engine optimization Sectional matrix systems Sensor covers Shade guides and shade devices Sharpening systems Sharps containers Sharps disposable Skin care products Sleep apnea testing services Soft tissue diode lasers Software e-claims Specialty products Splinting materials Sports dentistry Staffing agency Sterilization cassettes Sterilization containers Sterilization pouches Sterilizer accessories Sterilizers Sterilizing and disinfecting solutions Stools, dental operating Stools, laboratory Sub gingival fiber optic endoscope Suction cup denture kit for lab/dentist Supplier Surgical evacuator tips Surgical instruments Surgical microscopes Surgical supplies Syringes, all types Tax and accounting services Technician training systems Teeth, artificial Teeth whitening products Temporary crown material Temporary materials and accessories Therapeutic products Tissue management Tissue regeneration TMJ/TMD products Toothbrushes, hand Toothbrushes, power Toothpicks Torches Toys and novelties Trade associations Transition consulting Trays Tubes and plugs Turbines/canisters, high-speed handpieces Twin pins Ultrasonic cleaning solutions Ultrasonic endodontic tip Ultrasonic equipment, laboratory Ultrasonic equipment, prophylaxis Ultrasonic scaler Ultrasonic scaler tip Ultrasonics Uniforms and gowns Units and accessories Upholstery Vacuum line cleaners Vacuum products and accessories Van mobile lab Varioscopes Varnishes Video headlight systems Video imaging systems Video production company Vitality sensors Wall/cabinet mounted controls Waste compliance products/solutions Waterline cleaners Waterline shock treatment Waterlines Wax heater Wax, all types Wealth management Websites, design and hosting Xerostomia products X-ray apron-lead free X-ray badges (dosimeter) X-ray equipment X-ray films, intraoral and extraoral X-ray film holders X-ray machines and accessories X-ray mounts X-ray processing equipment/accessories X-ray, portable Xylitol Other, not specified