vendor registration form

You may print this form and either mail it to

DFW Coaches Clinic, 30801 Beck Road, Bulverde, Texas 78163

or fax it to 830-438-5360

DFW Coaches Clinic Vendor Registration Form

January 28 - 30, 2011

Company Name:
Representative(s):
E-Mail:
Address:
City:	State:	Zip Code:
Phone:	Fax:
Electrical Outlet: Yes No	Number of Spaces ($400 per space):

Enclosed is a check for $_________ which covers _____spaces at $400 per space (8'X8'). Please make check out to DFW Coaches Clinic. ($450 per space after January 21, 2011. No refunds after this date) Please complete and mail this form to DFW Coaches Clinic, 30801 Beck Road, Bulverde, Texas, 78163. A portion of all proceeds goes to benefit the DFW area Special Olympics Programs.

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This form is an online version of the original and may be reproduced and used to register with the clinic. DFW Coaches Clinic reserves the right to refuse any exhibitor.