Name of Company:

Name of Owner (Operator):

Mailing Address:

City, State, Zip Code:

Home Phone: Work Phone: Cell Phone or Pager:

E-Mail: Other Contact:

Number of 8' X 8' Booths needed 1 2 3 4 5 Handicapped Access Needed: Yes No

If the Main Arena is filled, I wish to be placed on a waiting list: Yes No

Names of people who will be working in your booth:

Type of merchandise to be sold, in accordance with the Organization's Guidelines: