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Organization/Company Name *
(as it should appear in promotions)
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Contact Name *
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Address:
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City:
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State:
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Zip/Postal Code:
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Phone:
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Cell Phone:
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Fax:
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Email Address:
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Website:
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Briefly describe the services your organization/company provides:
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What craft, activity, or give-away item will you bring for VIP kids? (this is a requirement)
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What is the best way for you to help us spread the word about this event?
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Emails Posters Flyers
Newsletter (indicate deadline)
Other |
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Day of Event Contact Name:
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Cell Phone:
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Email:
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Number of Representatives attending:
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Electrical outlet needed?
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No Yes (no guarantee - there are limited # of booth locations to accomodate request) |
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Purpose(s) for Electricity:
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Water needed?
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No Yes (no guarantee - there are limited # of booth locations to accomodate request) |
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Purpose(s) for Water:
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FEES BEFORE APRIL 18:
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Non-profit organization ($75)
For-profit organization ($150) |
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FEES AFTER APRIL 18:
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Non-profit organization ($100)
For-profit organization ($175) |
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| Fee includes the use of one sign, one 10x10 foot tent, one 6 foot table (not skirted or clothed), and two chairs. |
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REGISTRATION DEADLINE IS MAY 2, 2008
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Registration fee must be received before space can be confirmed.
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| Payment |
| By check: Please make your check payable to "Nathaniel's Hope" and send to Nathaniel's Hope, 2300 Jetport Drive, Orlando, FL 32809. |
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| By credit card: Please call our office at 407-857-8224. |
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| By typing my information in below, I acknowledge the following: |
| IMAGE CONSENT: Film/video photography will be taking place before, during, and after Make 'm Smile on behalf of Nathaniel's Hope. I grant Nathaniel's Hope and any third party it may authorize, the right to photograph, make video and/or audio recordings of me and/or my representative(s) for use in or in connection with exhibitions, video, magazines, newspapers, internet or other publications or on television or radio. |
| WAIVER: As a representative of my company/organization, I agree to indemnify and hold harmless Nathaniel's Hope from all cost, expense or liability arising out of our participation as an exhibitor at this event. I do hereby waive all claims for damage or loss to me or my company/agency’s property which may be caused by any act, or failure to act, by Nathaniel's Hope, its officers, agents or employees from me or any representative of my company/organization. |
| TERMS: I have read the exhibitor information sheet and agree to the terms set forth by Nathaniel's Hope. If I will not be present at the event, I will communicate this information to the person(s) that will be representing me or my organization/company at the event. |
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Name *
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Company/Organization Name *
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