Black Writers on Tour 2019 & Southern California Black Business Expo

BLACK WRITERS ON TOUR 2019 & SOUTHERN CALIFORNIA BLACK BUSINESS EXPO
Saturday, March 30th, 2019
9:00am to 6:00pm

Carson Community Center
801 E. Carson Street
Carson, California 90746

Exhibit Space
**Early Registration Before January 10th, 2019**
Early Registration - $150*
Regular Registration - $200

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1 - 6' table, draped white

2 - side chairs

1 - wastebasket

1 - one-line identification sign

Please print this page, fill it out, and mail the completed form, with your payment
(checks made payable to Black Writers On Tour) to:
Black Writers On Tour

1425 W. Manchester Ave. Ste. B
Los Angeles, CA 90047

Company/Name:	Contact:

Address:	City, State, Zip Code:

Telephone:	Fax:

E-mail:	Website:

Author:___________ Writer:___________ Publisher: __________

Name of Publication / Book Title:

Which Exhibit Space are you Purchasing?

Exhibit fee includes free seminar pass and picture on flyer and poster with early registration. Please read carefully and initial ____ No reselling or sharing of space unless approved and authorized by representative of Black Writers On Tour. Only the title publication listed on the registration form (above) can be sold or displayed at your space. Black Writers On Tour* will not be responsible for: airfare, hotel accommodations, and any other related expenses.

Payment Amount:

Using your Credit Card and/or want to make an advanced payment using PayPal? Please include your Credit Card information below, or use the PayPal buttons.

Credit Card (please circle one):

Card Number:			Expiration Date:

Cardholder Name (Please Print):

Cardholder Signature:

Did you prepay using PayPal? If so, please provide the Transaction Id on your Pay Pal receipt:

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