Application for Vending Booth

Thank you for your interest in having vending booth at Badr 2015 annual convention. To reserve your booth, please fill out the information below.

Title

First Name *

Last Name *

Community Affiliation

Address *

City *

State *

Postal Code *

Business Phone *

Cell Phone

Email Address

Materials/Products

Other: Please specify

How many booths do you want? (type number or zero in the boxes below) *

	One Booth/member ($250)
	One Booth/non member ($350)

Clarification?

Current Total:

$0.00

Payment Method *

I will abide by all regulations and policy as set by convention coordinators or hotel management *

Agree

Not Agree

Enter the word in the image *
captcha

Signature *

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Note:

* Very limited spaces and booth allotted as first come, first served basis

* A full Payment must be made in advance in order to secure your vending spot

* All payments will be final after July 29 and refund can be made only for the cancellation before July 29th, 2015

* Above price does not include convention registration fee and all vendors must comply with all convention admission!