Jericho Walk Event Organization Registration Form
Registration Form
Date:
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Business/Organization Name:
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Address:
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City:
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Zip code:
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Telephone:
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Fax:
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Email
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Total number of representatives from your organization that will be participating during our event?
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Please provide a brief summary of your set-up?
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What information or giveaways will your organization provide? (Please Note: if you are providing free giveaways for event participants your registration fee is waived).
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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
Can you bring your own table?
Can you bring your chairs?
If Yes, how many chairs will you bring?
Please confirm your attendance by Sept 12th
For more information please contact Jericho Walk Program
PH: 312.945.6824 Email: Jerichowalkspiritfest@gmail.com
FOR Administrative USE ONLY: Table Assignment
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Jericho Wak 2019
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