Episcopal Diocese of Lexington 117th Annual Convention, February 21-23, 2013 Hilton Downtown, Lexington, Kentucky EXHIBITOR APPLICATION (MUST BE RECEIVED BY JANUARY 16, 2013) Name of Organization: Purpose of Organization: Contact Person: Address: Phone: Fax: E-mail: Table required (6 foot table)? Yes ($15.00) No Table top Package (6 foot table, two chairs, trash, and table draping)? Yes ($30.00) No Do you need access to electricity? Yes (additional $25.00) No Total Due: NOTE: Due to the space restrictions only complete applications will be considered on a first come first serve basis. No more than one (1) table will be assigned to an exhibitor. Signature Date Please make checks payable to: The Episcopal Diocese of Lexington Please mail this complete form and check to: Episcopal Diocese of Lexington Attn: Exhibitor Application PO Box 610 Lexington, KY 40588-0610