FULL 

AUTUMN PSYCHIC FAIR SAT. SEPT 12, 2020                         9:30AM -5:00PM                                                                Presented by Don & Angie D’Anjou                              Registration Form  

This is a formal registration contract for participation in the AUTUMN Psychic Fair  being held at The Hampton Inn, 59 Portsmouth Ave., Exeter, NH  9:30am - 5:00pm

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:___$80.00                EXHIBITOR WILL BE PROVIDED a 6 ft table and chairs.      
Electrical Hookups requested _________ @ $10.00 per booth  Add $35.00 Late Fee after July 23, 2020.   _____ $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
OR

Please make check payable to  Donald D'Anjou  and send to:

Donald D'Anjou, 12 Welch Lane, Raymond, NH 03077

Thank you.