The 10th Annual Western MD Democratic Summit

April 26, 2014 Exhibitor Registration Print, complete, and return this form to complete Exhibitor Registration Contact name: _________________________________________ Contact number: ________________________________________ E-Mail: ________________________________________________ Company/Organization: __________________________________ Address:

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___ Check here if your exhibit requires electricity _________ # of tables (6-ft) requested @ $50 per table = $ __________ Exhibits should be set up no later than 8:00 am on Saturday, 4/26 and must be cleared by 10:00 pm on Saturday, 4/26. Fundraising and sales are not permitted. Gifts and door prizes are permitted. All exhibitors must be registered Summit attendees. Register online at DemSum10.eventbrite.com or using the enclosed form. Return this form with payment to Western Maryland Democratic PAC at the following address: Western Maryland Democratic PAC ATTN: Exhibits PO BOX 2163 Cumberland, MD 21503

Questions/information: Claudia Martin at [email protected]

By authority of Western Maryland Democratic Political Action Committee, Robin Summerfield, Treasurer Printed In House