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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