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2. Name of Sponsor*
3. Contact Person*
5. Business Telephone*
6. Cell Number*
7. Email*
9. Event On-Site Contact Name*
10. On-Site Contact Mobile Telephone*
12. Provide a brief description of the booth marketing activities:
14. Please note: You will be supplied with one 10 x10 tent, one 8-foot table and two chairs unless otherwise noted below.
16. Number of Additional Tables
    You will be supplied with one 8-foot table. Enter the number of ADDITIONAL TABLES you need.
17. Number of Additional Chairs
    You will be supplied with two (2) chairs. Enter the number of ADDITIONAL CHAIRS you will need.
19. Will the exhibit require electricity?*

    1. Yes
    2. No
20. If yes, how many Amps of electricity?
22. Other needs? Please list all:
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field