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MBA State Band Clinic Exhibitor Form
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* Indicates required question
Email
*
Your email
Company Name
*
Your answer
Contact Person
*
Your answer
St. Address/P.O. Box
*
Your answer
City
*
Your answer
State
*
Your answer
ZIP Code
*
Your answer
Office Phone
*
Your answer
Mobile Phone
Your answer
E-mail
*
Your answer
Do you want to set up a display at the clinic?
*
Yes
No
Which display/ad plan would you like?
*
DISPLAY - Plan 1 ($400) - (Includes full page ad)
DISPLAY - Plan 2 ($300) - (Includes half page ad)
AD ONLY - Full Page ($200)
AD ONLY - Half Page ($125)
Do you need a table cloth provided for your Display?
Yes
No
Clear selection
DISPLAY ONLY - Extra Booth Space ($100 each)
Choose
1
2
3
4
5
6
7
8
DISPLAY ONLY - Extra Tables (each booth space includes one table). Extra tables are $15 each.
Choose
1
2
3
4
DISPLAY ONLY - Do you need access to electricity for your display?
Yes
No
Clear selection
AD COPY
*
I will email my ad copy to:
jnallen@pearlk12.com
I will mail my ad copy to: Nicole Allen, MBA 2nd VP, 500 Pirate Cove, Pearl, MS 39208
Use the previous year's ad
Would you be interested in donating a door prize for the general meeting on Friday? These will be collected on the Friday morning of clinic.
*
Yes
No
I understand that all ad copy, payments, and bids are due by October 16, 2019. Mail to: Nicole Allen, MBA 2nd VP, 500 Pirate Cove, Pearl, MS 39208.
*
YES
If you have particular requests, etc. please list them below.
Your answer
Send me a copy of my responses.
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