Space Application Form

Show	Western NY Gift Show, February 21-23, 2009 Western NY Gift Show, July 26-28, 2009 Pittsburgh Gift Show, March 15-17, 2009 Pittsburgh Gift Show, August 9-11, 2009
Company Name
Your Name
Mailing Address
City
State/Province
Zip/Postal Code
Phone
Fax
E-mail
Website
Number of Booths Desired
Product Description and/or Type of Merchandise
Please list what shows you have participated in within the last year
Security Code

                                           Method of Payment Information and Form

                                           Please fill this form out and mail it or fax it to:

                                           Patti Cartwright
                                           100 Bickford Street
                                           Rochester, NY 14606

                                            Fax: 585-458-1511