Sun City Professional Building, Suite 244
12630 N. 103rd Avenue, Sun City, AZ 85351
(623) 583-1330, (623) 335-5339
APRIL 6, 2019 WEST VALLEY PSYCHIC AND WELLNESS EXPO
PARTICIPANT APPLICATION
Thank you for your interest. We will take information that you provide below for our Expo program.
Please list the name(s) of all persons that will be in your space. If someone is not listed, they will not be allowed as a participant.
Name____________________________________________________________________________
Name____________________________________________________________________________
Name____________________________________________________________________________
Business Name____________________________________________________________________
Business Address__________________________________________________________________
Business City________________________________State__________ZIP______________
Business Phone:___________________________________________________________________
Business Email:____________________________________________________________________
Services/Products:_________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Please Indicate Your Table/Space Preference. Discounted price ends February 23, 2019.
_____6’ Table(s) with 2 chairs: $65_____ OR discounted to $55_____
_____PREMIUM Table(s) with 2 chairs: $90_____ OR discounted to $90_____
_____8’x8’ Space(s) with 2 chairs per space: $75_____ OR discounted to $65_____
_____PREMIUM 8’x8’ Space(s) with 2 chairs per space: $100_____ OR discounted to $90_____
_____Electricity: $10_____
_____Extra chairs: no charge
Total amount due: $__________
Please indicate your method of payment below. Your space will be reserved upon payment clearance
_____Paypal: RECOMMENDED.
_____INVOICE: We can invoice you via Paypal. Be sure to include your Paypal email address here:
_______________________________________________________________________
_____Credit Card: Please use Paypal for security purposes. You can use your credit card via Paypal.
_____Check or Money Order: Please make it payable to Informational Pathways, LLC, and mail to
the address below with a copy of your application.
Are you interested in being a Speaker and provide a free 50-minute presentation in a conference area outside of the main event room? YES____ NO____
If YES, please indicate your time preference and alternates. We will try to accommodate all requests. This is an opportunity for attendees to learn about you and your services. Please indicate 1, 2, 3, 4, 5 beside the times.
_____9:30am-10:20am
_____10:30am-11:20am
_____11:30am-12:20pm
_____12:30pm-1:20pm
_____1:30pm-2:20pm
_____2:30pm-3:20pm
Please indicate your subject title with a brief description. ___________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Will you donate something for the Attendee Bags? YES________ NO_________
Will you donate a service or item for the Raffle? YES________ NO_________
(Items can be brought to our Office prior to Expo day or brought to the Expo at set-up time.)
ALL APPLICANTS PLEASE INITIAL:
__________I (we) have read, understand, and agree to abide by the Expo Guidelines.
__________I (we) have enclosed full payment or payment information.
ALL APPLICANTS PLEASE SIGN AND DATE:
Name____________________________________________________________________________
Date____________________________________________
Name____________________________________________________________________________
Date____________________________________________
Name___________________________________________________________________________
Date____________________________________________
Please print a copy of your application with your signature and email it to: wvpawexpo.com
or mail it via USPS to the address above. Thank you for your interest in this event!
If you have any questions, suggestions or comments, please feel free to contact Madeline La Mont
dba informational Pathways, LLC at:
The Place of Spiritual Wisdom, 12630 N. 103rd Avenue, Sun City Professional Building, Suite 244, Sun City, AZ, 85351. Office: 623-583-1330, Cell: 623-335-5339. Email: wvpawexpo@gmail.com