Booth Confirmation

For

KCCR’s 41st Annual Farm, Home and Sports Show

February 23rd and 24th, 2013

_____   Yes, I would like to be part of the 2013 KCCR Farm, Home & Sports Show

_____   Sorry I am unable to participate this year, but please contact me about the show in 2014.

Business Name:        ____________________________________________________    

Booth Size:               ____________________________________________________

Location I Prefer:        

                                    _____   Same as last year

                                    _____   Main Convention Area

                                    _____   Hallway

                                    _____   Small Business Room

Special Needs:        ____________________________________________________

                  ___________________________________________________

Owner/Manager

Signature:                    ____________________________________________________

    Date:    _________________   Phone Number: ___________________

Your KCCR Account

Representative is:      _____________________________ 

If you cancel your booth after December 14th, 2012, you will be charged for the full amount. We want to maintain a full show that is enjoyable for all customers.  To help defray our costs you are asked to make your payment prior to the start of the show.