ࡱ> 574 bjbjqq >ee      !!!!= !I:^``````$U   ...F  ^.^...Pz !R.J0... ... : APPLICATION FORM FOR FREE BOOTH at the 4th Annual Labor, Social and Environmental Justice Fair ɫ We Are Unstoppable; Another World is Possible! ɫ Dominguez Hills, Loker Student Union 1000 E. Victoria St. Carson, CA 90747 Thursday, April 19, 2012 Deadline to submit this form: March 20, 2012 Please return this form via email to the CSUDH Labor Studies Department, at  HYPERLINK "mailto:vprice@csudh.edu" vprice@csudh.edu or by fax at 310-516-3339  HYPERLINK "http://dhlaborstudies.org" http://dhlaborstudies.org campus map  HYPERLINK "http://www.csudh.edu/visitus/campusmap.shtml" http://www.csudh.edu/visitus/campusmap.shtml NAME OF ORGANIZATION: _________________________________________________ ADDRESS OF ORGANIZATON: ________________________________________________ CITY, STATE, ZIP CODE: _____________________________________________________ TELEPHONE NUMBER: _________________________FAX NUMBER: __________________ CONTACT PERSONS NAME ___________________________ PHONE NUMBER CELL: _________________________ EMAIL:___________________________________________________________________ NAME OF PERSON/S IN CHARGE OF BOOTH DURING THE EVENT: _______________________ CELLPHONE OF PERSON DURING THE EVENT IF DIFFERENT FORM ABOVE: ________________ We are excited to have you come to the Fair! By completing this application I __________________________, as a representative of the organization__________________________________, am applying to be part of the Labor, Social and Environmental Justice Fair on 4/19/2012. I will try to arrive at Parking lot 7 by 8:30 AM for setup. I understand that I may be sharing a canopy with another group, and that the BOOTH should be functioning from 11:00 AM to 3:00PM. I understand that the Labor Studies Department, the Labor Studies Club and / or CSUDH will not be held liable for injuries associated with the event. The BOOTH will consist of a table and two chairs and a canopy. I understand that I am responsible to decorate the BOOTH, display a banner, and bring all information and /or materials regarding my organization. I further understand the BOOTH will not provide electricity and /or heating& cooling. I also understand that I am responsible for my own parking. ($4.00). The booth will be free unless I am selling any items, in which case there will be a charge. Briefly explain why your organization would like to have a booth at the Fair. 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