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APPLICATION FOR EXHIBIT SPACE

A. Your Information as person submitting form:

B. Company information for exhibitors:

C. sales team information:

The committee would like the names and addresses of your sales representative. The sales representative registration fee, as noted below, is payable with this application. All sales representatives are required to wear our exhibitor badge in the convention hall and must have one in order to be admitted. Registration fee is non refundable. Sub-leasing of spaces is not permitted without approval of the committee.

D. raffle basket:

E. Sponsorship opportunity

Complete this section only if interested in being a WPFDA Convention Sponsor in addition to being an exhibitor

F. grand total and payment:

SPACE

8 x 10

NO.

AT $ 650.00

SALES REPRESENTATIVE(S)

@ $125.00

*********************************Please enclose check in the amount of:

OR, If paying by PAYPAL (SEE SECURE PAYMENT OPTION BELOW:) 

Select all that apply; Cart & Manual totals should be = to amount indicated to the right:

THIS COMPLETED FORM WILL BE EMAILED TO YOU AS CONFIRMATION 

PLEASE RETURN 1 COPY OF THIS FORM WITH CHECK MADE PAYABLE TO:

WESTERN PENNSYLVANIA FUNERAL DIRECTORS ASSOCIATION

Rob Schellhaas

388 Center Ave.

Pittsburgh PA 15229

Contact: Ambassador Center 7794 Peach Street Erie PA 16509

1-877-866-3445 www.ambassadorerie.com

**KEEP 1 COPY OF CONFIRMATION EMAIL AS YOUR RECEIPT**


NOTE - if using PAYPAL and desired sponsorship amount doesn't appear, a paper check will need mailed in for that amount along with a copy of the confirmation email.

CONVENIENTLY PAY SECURELY WITH PAYPAL

paypal payment

WPFDA

*If using PAYPAL and desired sponsorship amount doesn't appear, a paper check will need mailed in for that amount along with a copy of the confirmation email.

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