2nd Annual Ms. Wheelchair Massachusetts                                        
                                   disAbilities Expo and Trade Show                                        
                                    in conjunction with                                         
                                                              
                                     The Ms. Wheelchair Massachusetts Pageant  2010                                       
                              Sunday November 15, 2009 at "Carson Place"                                
                              Bayside Expo Center - 180 Mt. Vernon St                                
                        Boston, MA. 02125                                
                                                              
                                              Exhibitor-Resource Table Registration Form                                                        
              Information assures that your listing in the pageant program book will apppear correctly                        
                                        
                                                              
Type
 Cost
For Profit - Exhibitor                                                
8 Foot banquet table skirted & draped, mention in local & national pageant
program. Lunch for 1 person  (additional lunch cost $10.00pp)
 $60
Retailers (vendors selling product @ pageant)
8 Foot banquet table skirted & draped, mention in local & national pageant
program. Lunch is available @ $10.00pp (must reserve)
 10% of profits at pageant
(or) donation of raffle item
valued at $35.00 minimum
Non-Profit Organization / Exhibitor
8 Foot banquet table skirted & draped, mention in local & national pageant
program. Lunch is available @ $10.00pp (must reserve)
 No charge
Business/Organization Name:                                                                        
Address:                                                                        
City:                                                                                                  State:                Zip:                
Key Contact:                                                             Tel:                                          Fax:                
E-Mail Address:                                                                        
Business/Organization Type: For Profit Exhibitor / Retailer / Non-Profit Organization  (please circle one)
      Arrival & Set-up ---- Exhibitors may access table space after 9am the day of the pageant.                
                               Exhibit time: 10:00 a.m. - 3:00p.m.                              
Please breakdown displays at 3:00 - Crowning ceremony starts at 3:30p.m.
Please check your business type below and reserve additional lunches needed:                                                
                        
                           _____ Exhibitors                                $60.00
                           _____ Retailers                                 10% of sales or raffle item                
                           _____ Non-Profit                                No charge
                           _____ Additional Lunches                 @ $10.00ea                                
                                                                     
                          Total Amount Enclosed                       __________                                    
Make checks payable to: Ms. Wheelchair Massachusetts Foundation and remit to Susan Houston                       
120 Hickory Road, Wrentham, MA. 02093.  Questions? Please call: Susan Houston 774-210-0062                      
                                          
Please reserve your space by October 16, 2009