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Download Vendor Packet - Jungle Jim's

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III. <strong>Vendor</strong> Information<br />

Registration Form<br />

Fill in form below and send to:<br />

<strong>Jungle</strong> Jim’s International Market, Weekend of Wellness<br />

Contact: Dianna Hood<br />

5440 Dixie Highway, Fairfield, OH 45014.<br />

p: 513.674.6055 • f: 513.674.6001 • email: dhood@junglejims.com<br />

Company Name: _______________________________Contact Name: ________________________________<br />

Address: ___________________________________________________________________________________<br />

City: _________________________________________State: ________________Zip: ____________________<br />

Phone: _______________________________________Fax: ( ) - - _________________________________________<br />

( ) - -<br />

Email: ________________________________________Web Address: ________________________________<br />

Type of Booth:<br />

Qty:<br />

Total:<br />

I would like a STANDARD booth $250.00 $<br />

8’x8’ booth, 6’ table, linen and two chairs.<br />

Includes 2 <strong>Vendor</strong> Badges<br />

I would like a SILVER Sponsorship $750.00 $<br />

I would like a GOLD Sponsorship $1000.00 $<br />

I would like a PLATINUM Sponsorship $2000.00 $<br />

Pricing subject to change<br />

TYPE OF BOOTH TOTAL: $<br />

Additional Items (must be ordered in advance):<br />

Qty:<br />

Total:<br />

6’ table covered and skirted $10.00 ea. $<br />

Protective Floor Mat $10.00 ea. $<br />

Required if food prep./cooking in booth<br />

ADDITIONAL ITEMS TOTAL: $

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