TYPE OF EXHIBIT

MerchandizeServicePromotion/ free samplingFood

List Products / Services/promotion/food offered: (only FIA approved list will be granted)

Number of Booth ordered:

ZONE:

Amount:

Businessname:

Owner name:

Address:

City:

State:

Zip:

Phone:

Cell Phone:

Fax:

Contact name and phone number (if different from above)

Name:

Phone:

Federal Tax ID or Social Security

(APPLICATION WILL NOT BE PROCESSED WITHOUT THIS NUMBER)

Website

Email

Federation of Indian Associations (FIA) would provide one table and two chairs per non food booth and 2 tables and 4 chairs for food booth rental.

Additional table would be provided @ $ 60 and chairs @ $ 25.

Please list the extra qty., if any:

(per quantity $ 50)

Total Amount including any extras:

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