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REGISTRATION FORM           PO Box 16956, Duluth Minnesota 55816 Ph. 218-940-1334

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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.

 

___ I’m 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.)

___ I’m paying with check or money order.    ___ I’m paying with credit card.  (Circle one):         VISA      MASTERCARD

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:

Greeneyes Productions LLC
POB 16956, DULUTH MN 55816
Tel: 218-940-1334
FAX: 715-392-1453
Internet: info@greeneyesproductionsllc.com

 

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Copyright © 2007 Greeneyes Productions LLC
Last modified: October 02, 2007