2010 Earth Day Indiana Exhibitor Form

Exhibits focused on environmental protection, conservation of natural resources and sustainable living are given priority in selection and site location.

Click the download link to the right to receive a neat pdf of this form that you can complete and return. Or, you can copy the text and paste it into an e-mail or Word.

You may submit the form to earthdayindiana@comcast.net or PO Box 40655, Indianapolis, IN 46240.

Organization Name:______________________________________________

Booth Display Theme:____________________________________________

Address, City, State, Zip:__________________________________________

Organization Web Site:___________________________________________

Contact Person:___________________________Title: _________________

Direct Phone:_______________________ Cell: _______________________

E-mail: ___________________________________ Org. phone:__________

Booth placement requests (close to..., far from..., etc.):

_____________________________________________________________

Booth Space, Tables and Chairs

Please select one (Includes 10ft. x 10ft. space only):

__Non-profit - $30 __Government - $60 __For-profit - $100 = _______

Tables - $10 each x ____ (# of tables) = _______

Chairs - $3 each x ____ (# of chairs) = _______

Electricity hook up - $20 = _______

Total $_________

Please make checks payable to Earth Day Indiana Inc.

Send forms and checks to PO Box 40655, Indianapolis, IN 46240

Or, pay by credit card and e-mail the form to earthdayindiana@comcast.net:

___Visa ___MasterCard ___American Express ___Discover

Card number________________________ Exp._____ Zip Code__________

Please check here ___ to acknowledge that the organization represented on this form agrees to the exhibitor waiver and festival guidelines published at earthdayindiana.org.

Contact: Stephen Sellers, 317-641-7818, earthdayindiana@comcast.net

Exhibitor waiver and festival guidelines.