OryCon 41 Dealer Application Form
Application will not be processed without Payment; please go to https://orycon.org/41/purchase-your-membership/ to pay for your dealer booth fee after filling out this form.
Business Name
Your answer
Contact Name
Your answer
Address
Your answer
Phone (main)
Your answer
Phone (alternate)
Your answer
Email
Your answer
Website
Your answer
Type of Merchandise (please mention scented products if any)
Your answer
If you are renting BOOTH space, do you want one booth or two? Booths are $150 for each 10x10 space
Your answer
Tables with BOOTH space
The first table is free; extra tables beyond the first are $15 each. You may have up to 3 tables.
Quantity of tables of each size (with BOOTH space)
Your answer
Space Rental (TABLE SPACE ONLY)
NOTE! Space rental is for ONE table only. We do not allow multiples at this time.
Table Size for TABLE SPACE ONLY
TABLE SPACES may not have extra tables. You may not buy two table spaces. Please note that specific table sizes are subject to availability. We'll do the best we can.
Do you need access to electricity?
NOTE! Access to power is $10.
If you do need electricity, how many devices will you need to plug in?
Your answer
How many chairs do you want?
Your answer
How many memberships will you be purchasing (Up to four at the discounted rate) *
Dealer membership cost - $25 until 12/31/2018, $30 until 3/31/2019, $35 until 7/31/2019, $50 until 10/12/2019, $55 at the door. Per the rules of our non-profit, every person connected with your space must have an OryCon 41 membership. An OryCon Dealer space does not automatically come with any memberships. You may have up to 4 memberships at the discounted Dealer rate.
Your answer
If you or any of your assistants have already purchased memberships, please list their names below. Include Badge Names, if any.
Your answer
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