[PDF]Registration Form - Rackcdn.comhttps://3989ac5bcbe1edfc864a-0a7f10f87519dba22d2dbc6233a731e5.ssl.cf2.rackcd...
0 downloads
165 Views
390KB Size
October 5th 2018 6:00pm-10:00pm (5:00pm VIP) Location: American Aviation Flight Academy 17076 Helicopter Drive, Brooksville Fl 34604
VENDOR INFORMATION Please type or print clearly:
Business Name: ___________________________________________________________________________ Contact Name: ____________________________________________________________________________ Complete Address:_________________________________________________________________________ Phone: ________________________________________ Cell: _____________________________________ Email: ___________________________________________________________________________________
PARTNERSHIP SELECTION METHOD OF PAYMENT
VENDOR TYPE: ☐ Member ☐ Non-Member VENDOR FEE: (1) 10’ x 10’ space # spaces: ___________ - your display MUST fit within the booth specifications. Additional booth fees will apply if larger than 10’x10’
Check attached
Credit Card
*** Two
(2) Designated Driver tickets are included in Vendor price. Any additional tickets must be purchased in advance. No sharing of tickets.
Electricity is NOT available for this event
NON-FOOD VENDORS
Chamber Members: Non-Chamber Members:
$75 $100
FOOD VENDORS/TRUCKS
Chamber Members: Non-Chamber Members:
$125 $150
☐ Booth Description (all vendors must complete include menu/or description of goods sold): _____________________________________________________ _____________________________________________________ ☐ Size & type of set up: __________________________ ☐Trailer ☐Truck ☐ Other _________________________ ☐ I will provide my own generator
Credit Card #
CVV
Exp.
Billing Address Signature
Total: $$___________
Please return this form with payment to: Greater Hernando County Chamber of Commerce 15588 Aviation Loop Drive Brooksville, FL 34604 Phone: (352) 796-0697 / Fax: (352) 796-3704 www.hernandochamber.com
A portion of our proceeds benefit CETA, a 501C3 education foundation.