WINTER BAY AREA BOOTH APPLICATION

AMIGO BAY AREA BOOTH APPLICATION

MARIN CIVIC CENTER * January 14-15 * SAN RAFAEL, CA
Booth Name *
Company Name *
Contact Info *

Contact Name Title
Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Physical Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Work Phone
Cell Phone
Fax
E-mail *
Website
List names of booth personnel:

(2 for 10’, 3 for 20’, 30’ or 40’)
Booth Personnel

First Name Last Name City Zip
First Name Last Name City Zip
First Name Last Name City Zip
Please position my booth if possible near the following exhibitor
*
prev next ( X )
I would like to lease one 10' x 10' booth $ 500.00

I would like to lease one 10' x 20' booth $ 800.00

I would like to lease one 10' x 30' booth $ 1,100.00

I would like to lease one 10' x 40' booth $ 1,400.00

I would like to lease extra tables $ 25.00

Quantity
Item subtotal: $ 0.00

I would like to buy VIP pass(es) $ 200.00

Quantity
Item subtotal: $ 0.00

Total $ 0.00
The prices above are for cash. For credit cards add 3%
Total + 3%
*These prices supercede any other advertised prices.
Payment Method *
Name On Card *

First Name Last Name
Billing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Best Contact Method
Calif. Resale #:
To obtain a temporary Calif. resale number call 1-800-400-7115, then dial 10
Please review Terms and Conditions above *

I agree to the terms listed above
Should be Empty:

AMIGO BAY AREA BOOTH APPLICATION

List names of booth personnel: