APPLICATION FOR BOOTH SPACE AND
PARTICIPANT CONTRACTS
2004 Ontario Hemp Alliance
Field Day and Trade Show
Friday July 16, 2004 at
Ridgetown College Campus
1.
Please
print or type.
2.
Fill
in all sections of the form
3.
Sign and mail original with cheque to:
Ontario Ministry of Agriculture and Food,
1 Stone Rd. W.,
Guelph,
Ontario N1G 4Y2.
Attention: AICC
________________________________________________________
PARTICIPANT INFORMATION_
Company Details: Booth Staff Registration:
(name and title)
Name: ________________________________ 1.
_________________________________
Title:
_________________________________ _________________________________
Company Name: ________________________ 2.
_________________________________
Street:
________________________________ _________________________________
City: _________________________________ 3.
_________________________________
Prov.: ____________ Postal Code: ________ _________________________________
Tel: ______________ Fax: _______________ 4.
_________________________________
E-mail: _______________________________ _________________________________
Internet: ______________________________
Booth Signage: ____________________
A. PAYMENT INFORMATION:
Pre Registration fee is $40.00
The day of event $50.00
Booth Registration is an additional or
$35.00 x _____number of booths required, = $__________
Equivalent product donation (please provide
description of your product)
_______________________________________________________________________
Total amount of cheque enclosed $________________
Payments made by cheque or money order must be payable to Ontario Hemp Alliance.
B.
We agree to abide by all regulations of this application
Signature
____________________________ Date:
______________________
Applicant