Information Booth
435 Wilder St. Lowell, MA 01851 Tel (978) 937-9817 Fax (978) 459-0190
Organization Name: _____________________________________________________
Address: _______________________________________________________________
City: _____________________ State: __________ Zip Code: ____________________
Phone ( ) ____________________
Contact Persons(s): ______________________________________________________
Types of Equipment you will be using: (such as generator and etc..)
Please list all items and prices sold:
Special request:
Please sign below after you read the following:
_______________________________________ ___________________
Signature Date