Jericho Walk Event Organization Registration Form
Registration Form
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Date:
Business/Organization Name:
Address:
City:
Zip code:
Telephone:
Fax:
Email
Total number of representatives from your organization that will be participating during our event?
Please provide a brief summary of your set-up?
What information or giveaways will your organization provide? (Please Note: if you are providing free giveaways for event participants your registration fee is waived).
Please select the $dollar amount that applies to your organization/business. You can make payments https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=TJRN58NSSLCF8 If other payment arrangements need to be made, please contact 312.945.6824
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Can you bring your own table?
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Can you bring your chairs?
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If Yes, how many chairs will you bring?
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Please confirm your attendance by Sept 12th
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For more information please contact Jericho Walk Program
PH: 312.945.6824 Email: Jerichowalkspiritfest@gmail.com
FOR Administrative USE ONLY: Table Assignment
Jericho Wak 2019
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