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„rig' <br />Wit <br />IAII'RO\7?� <br />- M.EN`I`dot <br />SIIUWT T T <br />www. NorthSuburbanHomeshow.orq <br />REGISTRATION FORM <br />EXHIBITORS MUST REGISTER NO LATER THAN MARCH 1ST TO BE <br />INCLUDED IN THE 2013 SHOW DIRECTORY. <br />ALL SECTIONS MUST BE COMPLETED! <br />Please print clearly. <br />Business Name <br />Business Street Address <br />Business City, State & Zip <br />Business Phone <br />Business Website Address <br />Contact Person Name <br />Contact Person Phone Number <br />Business Specialty <br />(this assists with booth location placement) <br />Will you be offering a Door Prize? <br />Contractor's License (if applicable) <br />What email address would you like the <br />show confirmation/Info sent? <br />I Interior Remodeling ❑ Kitchen/Bath ❑ HVAC <br />0 Exterior Remodeling ❑ Windows/Doors ❑ Garages <br />❑ General Contractor ❑ Design & Build Services ❑ Fences <br />❑ Landscape Design/Yard Maintenance/Sprinklers <br />Other - Describe: <br />YES NO If yes, exhibitors are responsible for handling all details for <br />your door prize - (registration, winner notification, delivery, etc.) <br />i <br />Electrical Hook-up Needed? <br />YES NO <br />(Please Print - Show Details and Confirmation Will Be Sent To This Email Address} <br />El Yes, please contact us and let us know how we can help sponsor this year's show, <br />Single Booth (10' wide x 8' deep) $ 300,00 <br />Double Booth (20' wide x 8' deep) limited # available $ 600.00 <br />Card Holders Name <br />Credit Card # <br />Credit Card Billing Address <br />Credit Card Payment Authorization <br />Type of Credit Card: <br />Expiration Date: <br />(street address) (City, State, Zrp) <br />(Visa or MasterCard Only) <br />Credit card payment information may also be telephoned to Cindy at 763-767-5100 <br />If payment by check, make checks payable to: Anoka Area Chamber of Commerce <br />Mail Payment & Registration Form to: <br />Andover Community Center, Attn: Cindy <br />15200 Hanson Boulevard, N.W., Andover, MN 55304 <br />