​The Place of Spiritual Wisdom

​              October 20, 2018 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 September 8, 2018.

_____6’ Table(s) with 2 chairs: $60_____   OR   discounted to $50_____

_____END 6’ Table(s) with 2 chairs: $80_____   OR   discounted to $70_____

_____PREMIUM Table(s) with 2 chairs: $100_____   OR   discounted to $90_____

_____8’x8’ Space(s) with 2 chairs per space: $70_____   OR   discounted to $60_____

_____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 via Paypal: We can invoice you. 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? 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.

_____10:00am-10:50am

_____11:00am-11:50am

_____12:00pm-12:50pm

_____1:00pm-1:50pm

_____2:00pm-2:50pm

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.)

Are you interested in purchasing a lunch?              YES________   NO_________

 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
 

​​Sun City Professional Building, Suite 244

12630 N. 103rd Avenue, Sun City, AZ 85351

(623) 583-1330, (623) 335-5339