Wags n' Whiskers 2013 Exhibitor Commitment Form

General Information

Payment Information:
Please make check out to Federal Realty Investment Trust and list Village at Shirlington, Wags n' Whiskers in the notes section.

Please mail your payment to:
Federal Realty Investment Trust
Kellyn Mahan
1626 E. Jefferson Street
Rockville, MD 20852

Business Referral Program

Refer 1 business
Receive the benefit of including a promotional item in signature swag bag + $25 dining card to The Village at Shirlington

Refer 2+ businesses
Receive the benefit of including a promotional item in signature swag bag + $75 dining card to The Village at Shirlington

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* 1. Exhibitor Contact Information

Company: *

Name: *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number: *

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* 2. Total Commitment:

Top Dog Exhibitor: $500

On-Site Exhibitor: $250

Nonprofit Exhibitor: 50% off selected package above. (See next question)

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* 3. If you are a non-profit exhibitor, please fill out the following information.

Package Selected:

Tax Exemption Number:

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* 4. Please provide us with a valid emergency contact.

Emergency Contact Name:

Phone Number: *

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* 1. Exhibitor Contact Information

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* 2. Total Commitment:

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* 3. If you are a non-profit exhibitor, please fill out the following information.

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* 4. Please provide us with a valid emergency contact.

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* 5. How did you hear about Wags n' Whiskers? If a business referred you to the event, please list the business name below.