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Eastern Michigan FCM Children's Ministry Conference

On-Line Dealers Registration Form

This application must be completed to reserve table(s) at the conference held at Northville Christian Academy for the Eastern Michigan FCM Children's Ministries Conference

April 8-10, 2010

 ØDealers must register for the conference
Ø Dealers must pay in advance for tables

Cost of Table (includes 2 Registrations)

First Table $80.00

 (Extra workers are $20/person)

Additional Tables $35.00

ü   Late filing fee after 3/1/10 is $25.00 - NO EXCEPTIONS

 (Eastern Michigan FCM has the right to determine who will be a participating dealer. Due to limited space, we seek a balanced product display. We put emphasis on using dealers who have been with us in the past.  New dealers are chosen partially on a first-come first-serve basis, so send in this form as soon as possible.)

 

Conference Year

Company Name: 

Owner Name: 

Product type: 

Street Address: 

City:    State:    Zip Code: 

Home Phone:     Cell Phone: 

Fax:      E-mail: 

Web Site: 

Workers Accompanying You: 

Number of Tables Needed: 

Extra workers (over 2)

Is Electricity Needed? 

If needed, are you willing to participate in the Friday Evening Program? 

Do you want to participate in the auction? 

Comments: 

Monies derived from the auction are used exclusively for charitable needs within the Eastern Michigan FCM.

THIS FORM MUST BE RETURNED NO LATER THAN March 1, 2010!

Questions? Contact Elsworth West (313) 882-2217 or cell: (313) 882-2217

Mail payment to:

Elsworth West
9174 Kensington Rd.
Detroit, MI 48224

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