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“Save My Space” 2010 Expos at The Mall at Stonecrest  Yes, I want to reserve exhibit space at the 2010 Expo(s) indicated below. I am enclosing 50% of the participation fee to hold the space. (For Expo participation levels and fees, visit www.crossroadsnews.com/text/expos.htm.)  Expo Health & Wellness Summer Camp Best of East Metro Small Business Family & Adoption

Date Jan. 30, 2010 March 20, 2010 April 24, 2010

Level

Fee

Deposit

Aug. 21, 2010 Total Deposit(s):

My Name Company Name Address City

State

Phone:

Zip

Fax:

Email Address: (Print this form and mail with check or money order payable to CrossRoadsNews, 2346 Candler Road, Decatur, GA 30032. Credit card payments can be faxed to 404-284-5007. Space reservation is not guaranteed until confirmed by CrossRoadsNews. Deposits received after allocated spaces are filled will be returned. Only 50 slots available per Expo.)

 Please bill my credit card:  Please call for credit card info: Card No: Type: ___VISA

CVV ___MC

___ AMEX

___ DISCOVER

Expiration: ____/____

State

Zip

Name on Card (if different): Billing Address (if different): City Signature:


2010 Space Reservation Form