The Place of Spiritual Wisdom

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

​The Place of Spiritual Wisdom

The Place of Spiritual Wisdom