Vendor Registration - Venus de Milo Expo

Vendor Registration - Venus de Milo Expo

* Required fields
Name *
E-mail Address *
Are you registering for the Venus Expo? *	Yes No
Company Name *
Business Category *
Website
Address *
Address 2
City *
State *
Zip Code *
Company Phone *
Fax
Cell Phone
Booth Size *
Booth # - Top 3 choices
	Corner Booth add $50
	Center Aisle add $50
	Half page ad in program book, add $80
	Full page ad in program book, add $150
	One 6' rectangular table, included, or...
	One 5' dia. round table, included
	Additional tables, add $15 each
	Table cover & skirting, included
	Electricity connection, included
	Leads list included (Excel file emailed)
Total Amount *
Amount to be charged (50% of total is required to hold space) *
Credit Card Type *
Card Number *
Name on Card *
Expiration Date (xx/xxxx) *
Security Code (3 digits in back of card) *
I acknowledge that I read all the terms & conditions of this contract, READ TERMS and commit in full to it's content. *	I Agree

I have read and agree to the Privacy Policy *

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