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MTA Festival 2008 Vendor Registration Form

I will participate in the MISSISSIPPI THEATRE ASSOCIATION'S 2008 Festival.

Vendor Registration Form
Step 1. Enter Information
Name:
Mailing Address:
City:
State:
Zip Code:
Phone:
E-Mail:
Website:
Company or Organization:
I would like to present a workshop during the festival.
I plan to attend the MTA Annual Festival as a vendor.
Make a tax deductible donatation to the MTA Scholarship Fund.
Enter Total Amount Due:

Step 2. If you are paying by Check, you may skip this step and Proceed to Step 3

 
Credit Card Holder Information
*Name:
*Address:
*City:
*State:
*Zip:
*Daytime Phone:
Credit card information:
*Credit card:
*Account number:
*3-digit verification: last 3 numbers above signature on the back of Card
*Expiration date: Month
Year

Amount of order to be charged to Card

.00

Step 3. Press Submit

 

Send checks to:

Mississippi Theatre Association
1247 Bardwell Road
Starkville, MS 39759
children's division