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    by EQUIFAX
    SSL Secure Server
    REQUEST FOR EVENT REGISTRATION:
     (all items with an * are required)
    (Please use Internet Explorer to complete the form.)
    NOTE: Filling out this form is not a guaranteed reservation and is subject to spacing and availablity. Corrine will contact you within five business days. Thank you for your interest!
    Business Name:
    *Contact Name
    *Street Address:
    *City: *State: *Zip Code:
    *Telephone: Alternate Telephone: Best time to reach you:
    *Email Address:
    *Special Note: a 4' table is reserved for micro-small businesses or businesses under two years old & accepted at the discretion of Corrine Weddings)
    *Exhibit Fee
    (Refer to Floor Plan
    for Exhibit Pricing )    		 *Event Date *Show Location Request A Corner
    Aisle Exhibit Space
    Add $25    		 *Electricity:
    (extra fee may apply
    see exhibitor info for details)
         
         
         
         
         
         
     $ EXHIBIT FEE SUBTOTAL
      - Less Multiple Event Booking Discount (if applicable) Discount given for multiple bookings.
     + Add Electricity Charge (if applicable - $25.00 charge for Cromwell show locations only)
        TOTAL ADVERTISING EXPENSE
      - Less Non-Refundable Deposit (deposit amount per exibit space booked)
      $ BALANCE DUE (refer to due dates on Exhibitor Information)
    Kindly mark your calendar when the balance is due
    Id like a reminder when the balance is due
    *PAYMENT METHOD: Print Email receipt and submit with check.
    Check    		 Print Email receipt and mail or fax to (860) 633-1177
    or call your information in to Corrine at (860) 633-2727.
    Credit Card
    NOTE: please do not Email your credit card information, Email is not a secure method of sending financial information
    Exhibit Space Preference.     (Indicate your top 4 choices from floor plans, per event date)
    Name Badge Info.    I'm not sure yet    No name badge needed
    (first names only)
    *DOOR PRIZE DONATION (Optional): noyes haven't decided yet
    Quantity of Prizes to be donated (up to two):
    Prize Description(s):

    Prize descriptions to be determined (if TBD well contact you closer to event date)
    ID LIKE THE LIST OF ATTENDEES REGISTERED AT EVENT:
    (the list will be emailed to you in an Excel format 1-3 weeks following event)
    *noyes    		 Check here if you prefer the list to be printed and mailed to the address provided
    I'D LIKE A FREE WEBSITE LISTING on www.CTWeddingResource.com: * no  yes
    As a special bonus, you will receive a complimentary listing (duration depends on the number of events you book - refer to exhibitor information)
    Business Name:   
    Contact Name:     
    Telephone:           
    Street Address: (if youre home-based consider omitting)
    City: State: Zip:
    Website Address: http://
    Email Address:
    ADD MY LISTING UNDER THIS PROFESSIONAL CATEGORY:   
    Price Range of Services/Products: $ to $
    Business Description (50 words or less): TBD - I will Email to: Corrine@CorrineWeddings.com when description is complete.    No description is needed
    Comments/Special Requests:
       *I have read and accept the terms and conditions of exhibiting at one of the events above. Furthermore, I understand that this is a request for event reservation, and is not a guaranteed reservation for space. Corrine will contact you within five business days to confirm.
    IMPORTANT: Print a copy of this completed form for your records before pressing the "submit" button