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March 4 & 5, 2011 Land O’ Lakes Recreation Complex (on Collier Parkway) 3032 Collier Parkway

APPLICATION

*Booth Space: 8’ wide x 5’ deep with 6’ x 2 1/2 ‘ skirted table & two chairs *Booth Set-up: Friday, March 4th from 8:00a.m.-3:00p.m. Must be setup by 3:30p.m. or booth will be given away **Booth must be manned at all times. Breakdown, Saturday, March 5th at 3:00p.m. NO EXCEPTIONS. *No alcoholic beverages or tobacco products will be permitted. *No displays that promote the use of firearms or other weaponry are allowed. *Booths and displays must not create any hazard to the public. *The Business Expo is an excellent opportunity to display and promote your company.

Premier Sponsor . . . . . . . . . . . . . . $1,000 (Includes 2 booths in prime location with electric) _______ _______Showcase Sponso _______Business Sponsor r . . . . . . . . . . . . $700 (Includes 2 booths with electric) . . . . . . . . . . . . . $500 (Includes 1 booth)

_______Booth Member. . . . . . . . . . . . . . . . $100 _______Booth Non-Member . . . . . . . . . . . $135 _______Electric . . . . . . . . . . . . . . . . . . . . . $15 *______Visit & Win Contest . . . . . . . . . . . $25

Total: $___________ Participants with electric must bring their own heavy duty extension cord-50’-75’.

*Sign up to be part of the “Visit and Win” Contest on March 4th & 5th. In order to attract more visitors to your booth display, visitors must visit your booth to get their sheet signed by you in order to have a chance to win a $1000.00 Savings Bond. A symbol will be displayed in your booth so people can locate your booth.

The Central Pasco Chamber of Commerce P.O. Box 98 Land O’ Lakes, FL 34639

**Please make your check out to the Central Pasco Chamber of Commerce.

**Credit Cards accepted.

Hand And Hand

Business & Community

Theme: “ROCK AROUND THE CLOCK”

BUSINESS NAME

_______________________________________________

Credit Card Information

FULL ADDRESS

________________________________________________

TELEPHONE:

FAX:

Visa

____

Master Card

___

Amx Exp

____

___________________________

___________________

EMAIL:

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Credit Card # _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

C O N T A C T N A M E : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Exp. Date:

____________________________

WILL YOU BE GIVING A DOOR PRIZE

DESCRIPTION

_ ____ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

CVV2:

_____ ______ _____ (three digit code on back of card)

I HAVE READ, UNDERSTAND, AND

AGREE TO ALL GUIDELINES OUTLINED IN THE APPLICATION.

SIGNATURE:

___________________________________________________

_____________________________________ Authorized Signature

TITLE:

________________________________________________________

FOR INFORMATION PLEASE CALL THE CHAMBER OFFICE AT 813-909-2722, FAX: 813-909-0827.

Chamber Review

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