Anshei Sfard

4510 - 14^th Avenue

Brooklyn, NY 11219

Sept. 22, 2011

Boro Park’s

4^th Health

Awareness Day

Booth Reservation Form

Company Name ______________________________________________________________

Contact ____________________________________________________________________

Address ____________________________________________________________________

City ___________________________State _________________Zip____________________

Telephone ___________________________ Fax __________________________________

Email ______________________________ Website ________________________________

Products or Services to be Exhibited _____________________________________________

Full Booth Rental Rates:

[ ] 6’ x 8' Booth $ 500.00

Back (7' h – 8’ w) and side rail (3' h – 6’ deep), draped in show colors
Booth identification sign
1 Table, 2 Chairs, and wastebasket
Free listing in the Show Directory

[ ] TABLE TOP $ 350.00

(4’ or 6’ Table -2 chairs- NO Back or side Walls)

[ ] Back Wall Additional $ 75.00

[ ] Corner Additional $ 75.00

[ ] Corner Booth $ 1,000.00

[ ] Double Booth $ 1,300.00

Event Sponsor [ ] $20,000 [ ] $10,000 [ ] $ 3600 [ ] $ 5000 [ ] $7500

Method of Payment: Payments: All reservations must be accompanied by full payment.

… Check Enclosed $ ________________Payable to ShaulE Events & Marketing

The signatory above acknowledges that he/she has read and understands all provisions of this contract including the

Rules and Regulations on the following page, agrees to be bound by them and further warrants that

he/she has the authority to execute this contract on behalf of the Exhibitor referenced above.

ShaulE Events & Marketing, LLC

5714 – 16^th Avenue - Brooklyn, NY 11204

Tel. 1- 718 – 633 – 0733 – Fax 1-718 – 633 – 5647

jewishexpos@gmail.com www.jewishexpos.com

4^th Annual

Jewish Home &

Healthy Living Showcase

Credit Card Payment Form

We accept Visa, MC ONLY – NO AMERICAN EXPRESS

Please fill in required fields *

* Company Name:________________________________________________

* Cardholder Name: ______________________________________________

(as shown on credit card)

Cardholder credit card billing address:

* Address_____________________________________________________

* City:________________* State:____________*Zip:_________________

* Card Number:____________________________ ________________

* Exp Date:_______________________________

* Amount:_______________________ Reference:______________________

* Cardholder Signature:___________________________________________

Please note:

SHAULE EVENTS

is the company name which will appear on your credit card billing statement.

Event Sponsor [ ] $20,000 [ ] $10,000 [ ] $ 3600 [ ] $ 5000 [ ] $7500

Credit Card Payment Form

Fax completed form directly to @ 1-718-633-5647