VENDOR INFORMATION (* indicates required field) Please select The Women's Day of Pampering & Relaxation 2006 Location & Date from the date(s) listed below. Note all times are from 10:00AM - 3:00PM. REGISTERING FOR 2006 & 2007 SHOWS at the following location(s) *: Kensignton Court - Ann Arbor, MI, Saturday, November 18, 2006 Company Name*: Contact First Name*: Contact Last Name*: Address*: City*: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces the Americas Armed Forces Europe Armed Forces Pacific American Samoa District of Columbia Federated States of Micronesia Guam Marshall Islands Northern Mariana Islands Puerto Rico Virgin Islands, U.S. Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Ontario Prince Edward Island Province du Quebec Saskatchewan Yukon Territory Zip*: Phone*: Fax: Email Address: Product Description: Service Description: VENDOR TABLES ARE $150 - PLEASE SELECT TYPE OF TABLE DESIRED Select Table Type: $150 INFORMATION Table With Skirt $150 PRODUCT/FOOD TABLE With Skirt VENDOR INSTRUCTIONS For additional information call 313-595-7143 or e-mail Print and mail copy of vendor application with check made payable to "BreakOut Marketing Group," P.O. Box 981183, Ypsilanti, MI 48198. Please notify us if you have special needs. Thank you for your participation. To charge by credit card complete the following information before sending the form. Credit Card Type MasterCard Visa Name on Card Card Number Card Expiration January Febuary March April May June July August September October November December 2006 2007 2008 2009 2010 2011 Signature
VENDOR INFORMATION (* indicates required field)
Please select The Women's Day of Pampering & Relaxation 2006 Location & Date from the date(s) listed below. Note all times are from 10:00AM - 3:00PM.
REGISTERING FOR 2006 & 2007 SHOWS at the following location(s) *: Kensignton Court - Ann Arbor, MI, Saturday, November 18, 2006
Company Name*:
Contact First Name*: Contact Last Name*:
Address*: City*:
State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces the Americas Armed Forces Europe Armed Forces Pacific American Samoa District of Columbia Federated States of Micronesia Guam Marshall Islands Northern Mariana Islands Puerto Rico Virgin Islands, U.S. Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Ontario Prince Edward Island Province du Quebec Saskatchewan Yukon Territory Zip*:
Email Address:
Product Description:
Service Description:
VENDOR TABLES ARE $150 - PLEASE SELECT TYPE OF TABLE DESIRED
Select Table Type: $150 INFORMATION Table With Skirt $150 PRODUCT/FOOD TABLE With Skirt
VENDOR INSTRUCTIONS
For additional information call 313-595-7143 or e-mail Print and mail copy of vendor application with check made payable to "BreakOut Marketing Group," P.O. Box 981183, Ypsilanti, MI 48198.
Please notify us if you have special needs. Thank you for your participation.
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