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Cyndi Howells Seminar 2004
Archive

October 16, 2004

Grove Civic Center
This form and prices good for September, 2004 only. - No registrations taken in October.

Print and Mail Vendor Reservation Form
Please send form and payment to:
The Gregath Publishing Company, BOX 505, Wyandotte, OK 74370.  

Business Name: ___________________________________________________________________________

Contact Name: ___________________________________________________________________________

Address: _________________________________________________________________________

Phone Number(s):______________________________________________________

Contact Email: _____________________________________________  

Website(s): ____________________________________________________________________________________

Please include contact information in the handouts - if possible.
  Please include contact information on the website.

__1__ 1st Table (includes 1 full admission)  = $35.00
_____ 2nd through 5th Tables @ $20.00 each  = $_______________
_____ 6th+ Tables @$15.00 each (includes 2nd full admission)  = $_______________
              (contact for availability of tables over 6, before sending registration)

Total Enclosed = $_______________

Additional Vendor Information (with 6th table):

Name: ___________________________________________________________________________

I agree that The Gregath Publishing Company and/or the City of Grove, their employees and/or agents, assume no responsibility for damage, loss, or injury during and around the Cyndi Howells Seminar 2004, at or near the venue noted above.

Signed __________________________________________________________________ Dated ___________________

NO SHIPPING OR HANDLING FEES NEEDED

Page Last Updated: May 22, 2008

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