2019 Business & Lifestyles Expo Booth Registration Form

ORGANIZATION INFORMATION

Organization Name:
Address:
City:
State:
Zip:
Contact Person:
Phone:
Email:

BOOTH RESERVATION          (first come, first served with payment)

1st choice:
2nd choice:
3rd choice:

  

 

Payment Method:
Name on Card:
Credit Card Number:
CVV (located on back of card):
Expiration:

Checks payable to:  Jefferson City Area Chamber of Commerce

Questions? Contact Susan Neill Dawdy: susanneilldawdy@jcchamber.org or 573-690-2720

Monday - Friday
8:00 a.m. to 4:30 p.m.
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