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Wednesday, August 29, 2012  /  11:30 a.m. to 1:30 p.m.

Company
Your Name
Title
Street Address
City
State
Zip Code
Phone Number
Fax
Email
Number of Representatives Attending
Name(s) and Title(s) of Other Attendee(s)
Name Title
Please provide a list of available opportunities.
Will you need an electrical outlet for the fair?
Yes
No
Refreshments and hors d'oeuvres will be provided for organization representatives.
Do you have food allergies we need to know about?
Yes
No
If "yes," what are you allergic to?
Do you have special dietary needs?
Vegetarian
Kosher
Other
None
If "other," how can we accommodate you?