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Host Hotel Quality Inn 870-741-7676 1210 US 62/65 Harrison AR 72601. VENDOR REGISTRATION FORM GWRRA ARKANSAS DISTRICT CONVENTION RALLY Durand Center 1515 Pioneer Drive Harrison AR 72601 May 23 rd -25 th , 2013. PRODUCT(S) OR SERVICES TO BE SOLD AT THIS RALLY/CONVENTION: - PowerPoint PPT Presentation

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  • VENDOR REGISTRATION FORM

    GWRRA ARKANSAS DISTRICT CONVENTION RALLYDurand Center1515 Pioneer DriveHarrison AR 72601May 23rd-25th, 2013Business Name ____________________________________________________________________Address: __________________________________________________________________________City: _______________________________________State: _____________Zip:_________________Contact___________________________________________________________________________Day Phone _____________________________ Night Phone:________________________________Email address: ____________________________________________________________________Cell Phone Number: ________________________FAX Number:______________________________

    Host Hotel Quality Inn 870-741-7676 1210 US 62/65 Harrison AR 72601 PRODUCT(S) OR SERVICES TO BE SOLD AT THIS RALLY/CONVENTION:_____________________________________________________________________________________________

    _____________________________________________________________________________________________SPACE REQUIRED NUMBER OF SPACES SPACE FEEINSIDE 10X10 1@ $75.00 2@$125.00 3 @ $175.00 4@$200.00 $1ST COME WHILE THEY LAST

    OUTSIDE- 20X20 1@ $100.00 2 @150.00 3 @$190.00 4 @$225.00 $OUTSIDE VENDORS WITH TRAILERS, please include total length including motor home, trailer, tailgate down.

    For those vendors who wish to contribute to the Rally events as Sponsors please circle yes and include the appropriate amount below.I want to be a MAJOR SPONSOR YES $500.00 (INCLUDES UP TO 5 SPACES AS NEEDED)I want to be a SPONSOR YES $250.00 (INCLUDES UP TO 2 SPACES AS NEEDED)I want to be a SUPPORTER YES $150.00 (includes 1 space)I would like to donate a product for a door prize. YES NO All sponsors and supporters will be given 1 year advertising on the AR District Website and in the monthly AR District Newsletter with distribution in AR, KA, LA, MO, MS, OK, TN, TX,

    Please return registration and remittance NO LATER THEN March 15, 2013 To: Connie Brandon 13682 West Highway 72, Hiwasse, AR 72739-5705 Make checks and money orders payable to AR-GWRRA PayPal payments accepted at: [email protected] question contact Keith Sanders, Vendor CoordinatorHome phone 870-935-7480 Cell phone 870-219-8488 or Email: [email protected] Amount Enclosed: $___________