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Exhibitor Registration
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Please accept our registration information and note our levels of participation below.
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TO SEE WHAT'S INCLUDED IN
YOUR BOOTH, CLICK HERE
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COMPANY INFORMATION:
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COMPANY:
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CONTACT:
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PHONE:
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FAX:
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WEBSITE:
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PLEASE NOTE: If you don't have a website, we will link your company name to your email address so that people
may contact you from our website.
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EMAIL:
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ADDRESS:
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CITY, STATE, ZIP:
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BOOTHS: (please choose)
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SPONSORSHIP: (please choose)
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DOOR PRIZES: (please choose)
Exhibitors are asked to provide a door prize valued at $25 or more.
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Contact us about
sponsorship.
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BUSINESS CATEGORY: (please choose)
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ELECTRICITY: (please choose)
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Have you particpated in Golden Jubilee in the past?
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PAYMENT AMOUNTS: (please fill in)
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Yes
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No
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SPONSORSHIP:
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If you answered no, please tell us how you heard about the event.
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BOOTH TYPE:
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DOOR PRIZE:
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ELECTRIC:
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TOTAL DUE:
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By submitting this agreement, our organization agrees to comply with all rules and regulations set forth in
the Exhibitor’s Manual for The Golden Jubilee Senior Expo and agrees to pay all costs in full prior to the
event date. We also agree to release all photos taken for publicity reasons at our booth and allow the
organizers of this event to utilize pictures in any and all promotions in conjunction with The Golden
Jubilee Senior Expo. I further acknowledge that I have read , understand and agree to abide by the
Cancellation Rules set forth in the Golden Jubilee Exhibitor Manual.
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PAYMENT METHOD: (please choose)
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PAYMENT BY CHECK: We understand that we will receive an invoice and will forward a check to
Resources for Seniors, Inc. within 30 days of Registration or we may forfeit our booth location. We also
acknowledge that the address is Resources for Seniors, Inc. 1110 Navaho Drive Suite 400 Raleigh, NC
27609. Payment is expected in 30 days as will be noted on your invoice.
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PAYMENT BY CREDIT CARD: By checking this box, I acknowledge that I have authorization to make
charges to this card and further authorize Rescources for Seniors to charge my credit card the amount
shown. I will be contacted by Resources for Seniors to obtain my credit card information. We accept
VISA, MasterCard and American Express. Payment is expected in 30 days.
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click here to see the Floorplan
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BOOTH NUMBER PREFERENCE: (please fill in)
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Booth Choice #1:
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Booth Choice #2:
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Booth Choice #3:
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WHAT HAPPENS NOW?
Upon submission of this form, you will receive a packet of information in the mail. If you have requested
to pay by check, an invoice will be sent to you. If you have chosen to pay by credit card, you will be
called. This site is not a secure site. Please do not include your credit card information in this email. If
you have any additional questions, please include them in the box below.
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ADDITIONAL COMMENTS OR IF DOING A SCREENING, PLEASE DESCRIBE:
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