Answers marked with a "*" are required.

1. Company name:


2.  Name of contact person:

4.  Contact person's job title:
5.  Contact person's phone number:
6.   Contact person's fax number:

6.  Contact person's email address:


7.  Company's Web site address:


8.  Participant Selection:


9.  Do you plan to donate a door prize?


10..  The fair provides the standard one table and two chairs for each vendor.  If you need additional table(s) and/or chair(s), please note here:

11.  Will you need electricity for your table?



12.  Will you need wireless Internet connectivity (for your laptop)? 



12.  Would you like to receive a "Paint the Town Blue" e-brief?



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