WINTER PSYCHIC FAIR 
SAT. FEB 9, 2019
10:00AM - 7:00PM
Presented by Angie D’Anjou 
Registration Form 
 This is a formal registration contract for participation in the Winter Psychic Fair  being held at The Hampton Inn, 407 Amherst St., Nashua, NH      Hours:  10:00am –7:00pm

Exhibit___________________________________________

Exhibitor Contact Name _____________________________ 
Address  ___________________________                                   City  __________________ ST ___ Zip  ___________
Phone  ______________________                                               Cell Phone  ________________________________
E-mail  ____________________________________                   Web Site _____________________________
Brief Description of Exhibit/Services/Venue being offered at your booth: ___________________________________________________
 PSYCHIC READERS MUST OBTAIN A SEPARATE SPACE IF SELLING MERCHANDISE OTHER THAN SELF-PUBLISHED BOOKS OR MEDIA

PSYCHIC READERS MUST BRING SMALL TABLE (no larger than 4 foot) AND COVERINGS AS WELL AS FRAMED 8x11 BIO WITH PICTURE and SIGN UP SHEET.  ALL READINGS WILL BE PRICED AT $30.00 for 15 mins.

Number of booth rentals requested prior to Dec 22, 2018                                                                                                  ___$75.00

                                                             After Dec 22, 2018                                                                                                ___$90.00

EXHIBITOR WILL BE PROVIDED a 6 ft table and chairs.      

Electrical Hookups requested _________ @ $10.00 per booth 
Add $35.00 Late Fee after  Jan 20, 2019.   _____ $35.00  
Total amount enclosed to cover rentals:                     ________
 I am contributing ________________________________________________________ to the event door prize table and will bring this item with me on the day of the event.
 
Signature: ____________________________________                     Date Mailed:______________
__   USE PAYPAL BELOW  and email registration to                             angie@angiedanjou.com

 __    Please make check payable to  Donald D'Anjou
         Mail completed registration to :                                                     Donald D'Anjou, 6 Demery Rd., Hudson, NH 03051                                                     

NOTE:  Electric not available on reservations submitted after Dec 22, 2018 unless requested directly with event host.