Print this form and fill it out as clearly and accurately as possible

  WEST VIRGINIA HUNTING AND FISHING SHOW ^SM

   Charleston Civic Center, Charleston, West Virginia

   January 21, through 23, 2011                                            BOOTH NO:________

                    2011 EXHIBITOR RESERVATION FORM (REV. 12/13/2008)

BUSINESS NAME: _______________________________________________________

PROPRIETOR:        _______________________________________________________

ADDRESS :             _______________________________________________________

                                   _______________________________________________________

PHONE:                    _______________________________________________________

NO. OF BOOTHS REQUIRED: ____________   RETURNING EXHIBITOR ?  _________

EMAIL ADDRESS IF AVAILABLE: ___________________________________________

PRODUCT OR SERVICE TO

BE SOLD AT THE SHOW  _______________________________________________________

Items not directly related to hunting and fishing are unacceptable at this show.   Management reserves

the right to reject any applicant for exhibition space in the West Virginia Hunting and Fishing Show ^SM

PAY DEPOSIT BEFORE 4/1/2010 TO RESERVE BOOTH USED THE PREVIOUS YEAR

PAYMENT IN FULL MUST BE RECEIVED BEFORE DECEMBER 1, 2010

* MINIMUM DEPOSIT IS $150 PER BOOTH             DEPOSIT: $ _____________

FEES____________________________________________________________________

$__________  $350.00 First Booth

$__________  $300.00 Per additional booth

$__________  $25.00   Hardback for booth

$__________  $35.00 Red carpeting per booth

$__________  $7.00 per additional table

$__________  $14.50 Cloth table skirting for 30" height

$__________  $15.00 Table extension for 40" height

$__________  $23.00 Cloth table skirting for 40" height

$__________  $25.00  Electricity (20 Amp 110VAC)

$__________  $50.00 256Kb Wireless connection access per 8 hours

No Charge       TWO CHAIRS & ONE TABLE WITH COVER PER BOOTH

                                  ALL FEES PAYABLE IN U.S. CURRENCY ONLY

                                Rates subject to change without notice

                      VISA, MASTER CARD, AND DISCOVERY ARE ACCEPTED

Card Type: ____________ Number: __________________ Expire Date ________

Card Signature: ______________________________________

                          Minimum deposits are refundable without question before 9/1/2010

  Contacts: Daryl Haid, President, 304-562-9412 & Mike Green, Treasurer, 304-757-7240

                        Send Payment To:  West Virginia Trophy Hunters Association

                                                              5604 MacCorkle Avenue S.W.

                                                              South Charleston, WV 25309