QCCA EXPO Center - Informational Show Form

 

Name of Show

 

Business

 

Contact

 

Street

 

City

 

State

 

Zip

 

Home Phone

 

Cell Phone

 

Fax

 

Email

 

Website

 

Event Dates and Times

 

Date

 

Show Hours

 

to

 

Date

 

Show Hours

 

to

 

Admission

 

Adult $

 

Kids Under

 

(age with adult)

 

Is admission good for all days?

 

Yes

 

No

 

Discount coupons avaliable?

 

Yes

 

No

 

If Yes, Please Explain:

 

Interested on adding an advertisement page to our QCCA website?

 

Yes

 

No

 

Load-In/Load-Out Information - Dates and Times

 

Load-In

 

Date

 

From

 

to

 

Load-Out

 

Date

 

From

 

to

 

Rates

 

$ per day event - up to

 

sq. ft

 

$ per set-up/load-out day

 

$ due upon execution

 

Balance due by:

 

4 Cancellation Fee

 

Proof of $1 million insurance rider listing QCCA as additional insured due

 

by:

 

Signed conformation must be recieved by:

 

Please indicate what you would like on our message board- 6 lines with 15 characters each:

 

1.

 

2.

 

3.

 

4.

 

5.

 

6.