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REGISTRATION FORM PO Box 16956, Duluth Minnesota 55816 Ph. 218-940-1334 TALENT - TALENT SEARCH - VENDORS - GUESTS
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Greeneyes Productions LLC P. O. Box 16956 Duluth, MN 55816 www.greeneyesproductionsllc.com 218-940-1334 Fax 715-392-1453 EMAIL: info@greeneyesproductionsllc.com PRINT, COMPLETE, and RETURN this form via fax, email, or mail: TALENT/EXHIBITOR
REGISTRATION FORM Please Print: Date: ____________________
Time: _______ (Certain promotions are based on time; i.e. early registration promo, etc.): Contact Name:
____________________ Email: ____________________ (We do not sell or
share your email to anyone; it will be used for communication purposes only). Company Name:
____________________ Ph. #: ____________________ Physical Address:
____________________ ____________________ City, St., Zip:
____________________ ____________________ Province/Country:
____________________ Fax: ____________________ Website:
____________________ All of the above
will be listed in your directory listing (except for your fax number, unless indicated).
To preserve the quality of our directory, all information must be presented to be eligible
for the directory listing. (Optional): List my
fax number in the directory:
(Circle): Y or N List my EMAIL in the directory:
(Circle): Y or N
A brief bio, please. In a few sentences, please state something
about the who, what, where, when, and why of your business, products, and
service; attach this typed bio to your registration. This event is about promoting
your company and, armed with this information, we will do our best to do so at every
opportunity!
.. ___ I have read and
agree to the terms outlined in the POLICY and AGREEMENT FORM. Select from the following choices, include 50% deposit, and mail to: Greeneyes Productions LLC. PO BOX 16956, Duluth MN 55816. ___
$500 with 50% deposit before September 10th, 2007 ___
$525 with 50% deposit before September 24th, 2007 ___
$550 with 50% deposit before October 15th, 2007 ___ Vendor Show & Sell feature, add $35 to the above rates. Subtotal:
__________ Deposit: __________ Balance:
__________ All exhibits must
be paid in full by October 29th, 2007. ___ Im paying
in full, please register me for the STAGE TIME at no cost! (Checks require 2 weeks to clear. No
additional orders for exhibits will be taken after October 29th, 2007.) ___ Im paying with check or money order. ___ Im
paying with credit card. CARD #: __________________________ EXP. DATE: ________ 3-DIGIT
# ON BACK OF CARD: ________ ___ (Please call me for card information). Best time to call:
__________________________ . Signature: __________________________________
Date : __________ For More Information Contact: |
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Send mail to webmaster@greeneyesproductionsllc.com with questions or comments about this web site.
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