Name of Vendor (Promiser)

Company Name

Email

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MUST LIST ALL items for approval for Fuerza Latina - Item #14 above

I agree to all terms and conditions and have fully read the document above I agree to all terms and conditions and have fully read the document above Yes

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Date

Cost: $300.00 booth space for small entrepreneurs - Full payment required Cost: $300.00 booth space for small entrepreneurs - Full payment required

Cost: $650.00 booth space for one representative of a Corporation, plus $200 for each additional representative - Full payment required Cost: $650.00 booth space for one representative of a Corporation, plus $200 for each additional representative - Full payment required

There is an additional late fee of $50.00 There is an additional late fee of $50.00