Jericho Walk Event Organization Registration Form
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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
If other payment arrangements need to be made, please contact 312.945.6824
Fee= $100.00: I will be selling items for profit
Fee= $45.00: I am a non-for profit organization and will not be giving away free giveaways.
Fee= $0- Fee is waived, I am providing free giveaways 50+ items (please note if you are selling any goods/services please choose the first option)
Can you bring your own table?
Can you bring your chairs?
If Yes, how many chairs will you bring?
5 or more
Please confirm your attendance by Sept 12th
Yes, my organization will be attending
No, my organization will not be attending
For more information please contact Jericho Walk Program
PH: 312.945.6824 Email:
FOR Administrative USE ONLY: Table Assignment
Jericho Wak 2019
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This form was created inside of University of Illinois at Chicago.