Wags n' Whiskers 2013 Exhibitor Commitment Form Survey

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

1.Exhibitor Contact Information(Required.)

Company:

Name:

Address:

Address 2:

City/Town:

State:

ZIP:

Email Address:

Phone Number:

2.Total Commitment:(Required.)

Top Dog Exhibitor: $500

On-Site Exhibitor: $250

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

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

Package Selected:

Tax Exemption Number:

4.Please provide us with a valid emergency contact. (Required.)

Emergency Contact Name:

Phone Number:

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