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Cyndi Howells
Seminar 2004
Print and Mail Vendor Reservation Form Business Name: ___________________________________________________________________________ Contact Name: ___________________________________________________________________________ Address: _________________________________________________________________________ Phone Number(s):______________________________________________________ Contact Email: _____________________________________________ Website(s): ____________________________________________________________________________________
__1__ 1st Table (includes 1 full admission) = $35.00 Total Enclosed = $_______________ Additional Vendor Information (with 6th table): Name: ___________________________________________________________________________ I agree that Gregath Co. 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
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