“Save My Space” Expos 2009 at The Mall at Stonecrest Yes, I want to reserve exhibit space at the 2009 Expo(s) indicated below. I am enclosing 50% of the participation fee to hold the space. For participation fees, go to www.crossroadsnews.com/expos and click the name of the expo(s) that interest you. ✓ Expo Health & Wellness Summer Camp Small Business Adoption
Date Jan. 31, 2009 March 28, 2009 April 25, 2009 Aug. 15, 2009
Level
Fee
Deposit
Total Deposit(s): My Name Company Name Address City Phone:
State
Zip
Fax:
Email Address: (Print this form and mail with check or money order payable to CrossRoadsNews, 2346 Candler Road, Decatur, GA 30032. Credit card payments can be faxed to 404-284-5007. Space reservation is not guaranteed until confirmed by CrossRoadsNews. Deposits received after allocated spaces are filled will be returned. Only 50 slots available per Expo.)
Please bill my credit card: Please call for credit card info: Card No: Type: ___VISA ___ MC ___ AMEX ___ DISCOVER
Expiration: _____/_____
Name on Card (if different): Billing Address (if different): City
State
Zip
Signature: ________________________________________________________