Author: Lindsay

Sample Booth Reservation Form
Community Baby Shower for Safe Sleep
Saturday, January 21, 2012
1:00 p.m.—3:00 p.m.
Holy Savior Catholic Church
1425 N. Chautauqua—Wichita, KS 67214

BOOTH RESERVATION REQUEST

Company/Agency Name: ______________________________________________________
Address: __________________________________________________________________
City: _________________________________ State: ___________ Zip: ________________
Phone: ( ______) _______ - ______________ Fax: ( _____) _______ - ________________
E-mail: ____________________________________________________________________
Name(s) of Exhibitor Staff:_____________________________________________________
Please list any specific needs (outlet accessibility, additional table/floor space, etc.): _______ __________________________________________________________________________
__________________________________________________________________________
Would you be willing to provide a door/raffle prize? □ Yes □ No
If yes, please list door/raffle prize item(s): _________________________________________

EXHIBITOR DETAILS

Date: Saturday, January 21, 2012
Set Up: Noon
Display Until: 3:00 p.m.
Format: A table and 2 chairs will be provided

Send this form and remittance to:
SIDS Network of Kansas, Inc
Attn: Christy Schunn
1148 S. Hillside, Suite 10
Wichita, KS 67211
P: 316-682-1301 F: 316-682-1274
E-mail: sidsks@aol.com

A Healthy Baby Begins with You