South Carolina Democratic Party

Fields marked with an asterisk(*) are required

Vendor Name*

First Name*

Last Name*

Street Address*

City*

State* Choose Your State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip*

Phone 1*

Phone 2

Email Address*

Website

Purpose of Booth*

For ProfitIf solely for retail, a fee of $75.00 must be paid to the Columbia Metropolitan Convention Center as well as a permit to be issued by the City of Columbia. You may call them at 803-545-3345.

Candidates Select One... Jefferson-Jackson Dinner (4/24/09) - $50.00 Convention (4/25/09) - $100.00 Both Events (4/24-4/25)- $125.00

Local Activist Groups Select One... Jefferson-Jackson Dinner (4/24/09) - $75.00 Convention (4/25/09) - $100.00 Both Events (4/24-4/25)- $150.00

Vendor Groups Select One... Jefferson-Jackson Dinner (4/24/09) - $200.00 Convention (4/25/09) - $400.00 Both Events (4/24-4/25)- $500.00

How many extra tables needed? - $30.00 each, includes 2 chairs 0 1 2 3