1st choice: ____________________ 2nd choice: _____________________ 3rd choice: ______________________
List products by brand name: _____________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
The above is for press use. Please send photos of your products along with description.
Please be complete; the press will be requesting this information.
Company Name: _______________________________________ Web Site: _______________________
Person in Charge: ________________________________________________________________________________
Street Address: __________________________________________________________________________________
City: ___________________________________ State: ____________________ Zip: ________________________
Telephone No. ___________________________ Fax No. ___________________ E-mail: ____________________
RI Sales Tax Permit: _______________________Fed ID: ___________________ SS: _______________________
50% Deposit $___________________ must accompany this request.
Contract will be mailed on receipt of payment.
Make check payable to The Providence Boat Show
or
Check One: VISA______ MASTER CARD _______ AMEX _______
Amount of Payment: $_____________________
Card Number: _____________________________________________ Exp. Date: _______________________
Applicant's Signature:_______________________________________ Date: _______________________
Fax this Request with credit card payment to: 401-848-0455
Or Mail with check to: Providence Boat Show - PO Box 698 - 250 Thames Street - Newport, RI 02840