Text Box: Please retain copy for your records.               Terms and Conditions on Reverse. Exhibit Space Application / ContractText Box:                       Please return this completed form with payment to:                          Publishing, LLC                   9378 Mason Montgomery Rd #215                   Mason, OH  45040                   Phone (877) 825-6402                   Fax (615) 528-1180   Text Box: Nashville Cooking  Gift & Food Expo November 4 5 & 6 2005 Nashville Convention Center Text Box: COMPANY NAME CONTACT ADDRESS CITY PHONE       Text Box: CUST. #     ZIP/POSTAL CODE       Text Box:   TITLE   STATE/PROVINCE FAX       Text Box: 1ST CHOICE  BOOTH  #(S) 2ND CHOICE  BOOTH #(S)           Text Box: SIZE           Text Box: LIST     NET       Text Box:  I/We hereby apply for exhibit space in the above named show.  If accepted, I/We hereby agree to abide by the show terms, conditions and regulations printed on the reverse side of this form.   SIGNATURE                                                                                                                                                                                    DATE       Text Box: Payment in full MUST accompany this signed application. All pertinent fields must be completed for approval.  Your exhibitor kit will be sent upon application approval.   Text Box: Exhibit Space Text Box: Products Displayed Text Box: Payment Text Box: __ Please find my check or money order enclosed for $__________ __ Charge my Credit Card –(circle)  Master Card or VISA. I understand a 3% Service Charge will be added. Text Box:  Please list manufacturers’ lines intended to be displayed. We propose to exhibit the following products and / or services:   SIGNATURE                                                                                                                                                                                    DATE       Text Box: Name on credit card – Must be as it appears on statement.   SIGNATURE                                                                                                                                                                                    DATE       Text Box: Expiration date                  CCID#                   SIGNATURE                                                                                                                                                                                    DATE       Text Box: |       |       |       |       |*|       |       |       |       |*|       |       |       |       |*|       |       |       |       |  MC or VISA card #   SIGNATURE                                                                                                                                                                                    DATE       Text Box: Credit card billing address, city, state and zip     SIGNATURE                                                                                                                                                                                    DATE       Text Box: Signature Text Box: Date Text Box: e-mail address for confirmation   SIGNATURE                                                                                                                                                                                    DATE