VENDOR APPLICATION
Members: $150 Non-Members: $250
Includes one 8' table and two chairs
Sponsorship: $500
Includes free booth, premier location and company logo on all printed materials and Ada Business Association website.
Amount paid ____________________
Company Name _______________________________________
Contact Name _________________________________________
Address _______________________________________________
City _________________ State ______ Zip _______________
Phone ___________________ Fax _____________________
Email __________________________________________
Please charge my account (circle one):
Visa MasterCard
Expiration Date: __________ 3-Digit Security Code _________
Credit Card # ________________________________________
Do you require table? Y N
Do you require table cover? Y N
Do you require electric? Y N
Do you require internet? Y N
Will you be demonstrating or providing a workshop? Y N
Is yes, please describe ____________________________________________________
Mail check or charge information with application to:
ADA BUSINESS ASSOCIATION
P.O. Box 629 * Ada, MI 49301
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