BEPC CONSCIOUS WELLNESS EXPO RELEASE & INDEMNITY FORM for Oct 19-20, 2024 (You may have previously registered, but we need a signature for the Release.)

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If you do not need to update any information we will use what you provided from your Apr 2024 Application.

Applicant's First Name (your first name) *

Applicant's Last Name (your last name) *

Business Name (if you have one, it will appear in the Program)

Which days do you want to participate? (If you sign up for both days you will have booth placement priority. If you are signing up for only one day, we may not give you your preference or may need to move you.)
*

Both (Saturday and Sunday Oct 19-20)

Saturday Only (Oct 19)

Sunday Only (Oct 20)

Do you want a Full or Half Booth? [Pricing is listed on our website at https://www.bepcweb.org/join-the-expo or see below. Early bird pricing closes Jun 15, 2024.] ........................................................................................................................................................................................................... [Sat & Sun Full Booth: $250 EB / $280 | Sat & Sun Half Booth: $135 EB / $150 | Sat Full Booth: $150 EB / $162 | Sat Half Booth: $81 EB / $91 | Sun Full Booth: $118 EB/ $135 | Sun Half Booth: $64 EB/ $76]..............................................................................................................................................................................................................Booths are the same price however you pay: PayPal, Zelle, Square or check. See details below. You can choose a Half Booth partner, or we’ll pair you. *

Full Booth

Half Booth (if you will bring a massage table you must get a Full Booth)

If you want a Half Booth and know who you want to share it with, put their name below (or we'll find someone for you):

How many businesses will occupy the booth? Every business in your booth needs to fill out an application. (Limit 2 businesses per Full Booth. Limit 3 people per Full Booth and Limit 1 person per Half Booth. Staff are welcome to rotate during the event.)

One

Two

How many people will represent your individual business in your booth? (every person representing your booth must sign the Release - we can send you a link to only that part of this form) *

Your 1st Choice Booth Location (Full Booth - 8.5' x 6' = 51 sq ft, Half Booth - one 2'x 6' table. Refer to floorplan at https://www.bepcweb.org/join-the-expo/#floorplan ................. (The Panel and Talks rooms are TBD. Also, priority will be given to those signing up for both Saturday and Sunday - single day booths may be moved.)

Your 2nd Choice Booth Location

Your 3rd Choice Booth Location

Do you require electricity? (Bring your own long extension cord and choose booths with electricity - almost all have it, see the floorplan.) *

Yes

How many tables do you want? (Full booth fits two 6'x2.5' tables.) *

2 tables (standard)

1 table

no tables

Would you like to have tablecloths provided? (No extra charge) *

Yes

Please indicate the total number of chairs you want: *

Is there an update to the PRODUCT(S) or SERVICE(S) you will provide at the Expo in a simple phrase. This info may be edited and will be printed in the Program (about 4-8 words).

Email Address *

Please state any special requirements:

Website URL (Fill in only if you need to update)

Facebook (Fill in only if you need to update)

Twitter (Fill in only if you need to update)

Instagram (Fill in only if you need to update)

All Your Relevant Phone Numbers (cell phone preferred 555-555-5555 format) *

Mailing Address (Fill in only if you need to update)

BOOTH DECORATION IS ENCOURAGED. BRING DIVIDERS IF YOU WANT PRIVACY. BOOTH SPACE SIZE IS 6' X 8.5'. (You must fit inside your booth)

Biz Card Size Ad: Optional to purchase an ad in our program ($25). Cards must be sent digitally - send jpg or png file to BEPCexpo@gmail.com by Oct 1, 2024.
*

Yes

How will you pay ahead for your booth? *

PayPal (Credit or Debit - Use button on website: https://www.bepcweb.org/join-the-expo/#payment)

Zelle (Send to bepcexpo@gmail.com)

Square (Credit or Debit - Call or text Crystal at 253-544-9200)

Check [Payable to BEPC, PO Box 60224, Renton, WA 98058 (available up to 14 days prior to Expo)].

I have already paid

Other:

However you are paying, what is the name on the account? (PayPal, Zelle, Square or check) *

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