Wholistic Health Fair Booth Application

READ THIS FIRST:
***ONLINE SUBMISSION IS UNAVAILABLE. PLEASE FILL OUT THE FORM AND THEN COPY AND PASTE ALL INFORMATION IN THE BODY OF AN EMAIL. WE APOLOGIZE FOR THE INCONVENIENCE***
Do not press the ENTER key until you have filled out every field.
The ENTER key may submit the form automatically.

Look at a map of Pierson Auditorium here and choose what booth you would like before filling out this form.

PLEASE NOTE: Your booth reservation is not complete until we recieve payment.
You may pay over the phone with a credit card or by mail with a check.

How many booths would you like to reserve?

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Contact and Show Guide Information
Please indicate what information you would like included in the show guide.

Company Name:		List in Show Guide?	Yes	No
Wholistic Service		List in Show Guide?	Yes	No
Contact Person		List in Show Guide?	Yes	No
Address:
City, State & Zip:		List in Show Guide?	Yes	No
Telephone Number:		List in Show Guide?	Yes	No
Fax Number:		List in Show Guide?	Yes	No
Email Address		List in Show Guide?	Yes	No
Website		List in Show Guide?	Yes	No
Exhibitor Name(s)		List in Show Guide?	Yes	No

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I would like to donate a product or service to the Silent Auction:

Yes

No

Please list product or service:

Value in $

I would like to teach a 45 minute workshop at the Health Fair

Yes

No

If yes, please also fill out Wholistic Health Fair Speaker Form

Do you need electricity?	Yes	No
Do you need extra space?	Yes	No
Do you need to hang anything?	Yes	No
How will you be paying?	Will call with Credit Card	Will send in Check
Booth number you chose:	Subject to availability

Special Instructions:

***ONLINE SUBMISSION IS UNAVAILABLE. PLEASE FILL OUT THE FORM AND THEN COPY AND PASTE ALL INFORMATION IN THE BODY OF AN EMAIL. WE APOLOGIZE FOR THE INCONVENIENCE***