EmailMe Form - MIG Application

JapanFest Made in Georgia exhibitor (JCCG members only)

Prefix *

First Name *

Last Name *

Title *

Company / Organization *

Mailing Address Line 1 *

Mailing Address Line 2

City *

State *

Zip *

Daytime Phone *

Cell Phone

Email *

Website

Are you a JCCG member? *

Organization description for program *

What day(s) will you participate? *

TOTAL number of 10'x10' booths needed *

TOTAL number of 8'x30" tables needed *

Number of chairs needed *

Do you need an electrical outlet *

Do you need a phone line? *

Do you need a water hookup? *

Do you have a booth location request?

Is there another organization you would like to be adjacent to?

Comments/requests

I agree to the terms and conditions for participation *

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