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 18, 19, and 20, 2013                                   BOOTH NO:________

                                    2013 EXHIBITOR RESERVATION FORM

BUSINESS NAME: _____________________________________________________________

PROPRIETOR:       _____________________________________________________________

ADDRESS :            _____________________________________________________________

                                _____________________________________________________________

PHONE:                  _____________________________________________________________

NUMBER 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

PAY DEPOSIT BEFORE 4/1/2012 TO RESERVE BOOTH USED THE PREVIOUS YEAR

PAYMENT IN FULL MUST BE RECEIVED BEFORE DECEMBER 1, 2012

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

FEES________________________________________________________________________

$__________  $350.00 First Booth

$__________  $300.00 Per additional 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: ______________________________________

                           Deposits are refundable without question before 9/1/2012

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

                            Send Payment To:  West Virginia Trophy Hunters Association

                                                                 5604 MacCorkle Avenue S.W.

                                                                 South Charleston, WV 25309