Temple Readers and Healers Application

The Temple Readers and Healers Application
and Release of Liability Form for the
25th Annual Women of Wisdom Conference
Feb. 18 - 20, 2017 at North Seattle College

Application Deadline November 25th, 2016
Payment is due with application

* Indicates required field

Name *

First

Last

Business Name *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Cell Phone Number *

Email *

Web Address: *

Washington State UBI#: *

Seattle Business License #: *

If you do not have a Seattle business license you must pay $10 for the city fair fee. You must collect sales tax and report on your own B & O tax forms.

Type of Service you are offering at the WOW Conference: *

Day/Shift Availability (shifts are Saturday and Sunday 10:00 am to 2:30 pm and 2:30 pm to 7:00 pm, and Monday 10:00 am until 1:00 pm)

Please list what you will bring: massage table (limited space, massage chair, card table, divider screen *

WOW can provide 2 chairs - let us know if you need more.

I need electricity for my booth *

Yes

Yes, I'd like to donate a Silent Auction Service. Please Describe: *

Silent Auction Value: $ *

You can bring your silent auction items when you come to the conference Saturday morning, Feb. 18th, 2017,or to the pre-conference potluck (date to be determined) , or mail a gift certificate and business card, flyer and/or brochure to
WOW at PO Box 30043, Seattle, WA 98113.

Any Other Considerations? *

Preferred Listing on our website and e-newsletter
We will only list your name, business name, service and website on our website and newsletters unless otherwise stated below:

Name: *

Phone Number *

Website *

Business Description *

Business Name: *

Email: *

Please read thoroughly and sign (if submitting online typing in your name and the date serves as your signature):

I agree to provide my services for sale during the full duration of my shifts. I understand if I cancel my participation in The Temple before January 15th, there is a $25 processing fee and that fees are non refundable after January 15th, 2017.

Full Name *

Date: *

Please indicate if you would like to be placed on the waiting list in case of cancellation. Please note that a Temple participant who cancels will only be replaced if there is another Temple participant with like services in order to maintain balance in the Temple.

Put me on wait list? *

Yes

Payment of your Temple fees is due upon notification of acceptance - which should be by the end of November. An email will be sent to you upon acceptance with more information on how to pay for your booth.

Women of Wisdom
24th Annual Women of Wisdom Conference
February 18-20, 2017
Release of Liability for Psychics, Healers and Body Workers

Name *

I release Women of Wisdom Foundation and North Seattle College from all liability, claims, costs, expenses, injuries and/or losses that may occur as a result of any part of my vendor booth and/or products.

I also release Women of Wisdom Foundation and North Seattle College from any losses or damage that may occur to my booth or products while I am a vendor in The Temple at the Women of Wisdom Conference 2017.

Full Name: *

Date: *

Questions? Contact Women of Wisdom at 206-782-3363 or email wow@womenofwisdom.org

I agree to receiving marketing and promotional materials *

Submit

The Temple Readers and Healers Applicationand Release of Liability Form for the25th Annual Women of Wisdom ConferenceFeb. 18 - 20, 2017 at North Seattle College Application Deadline November 25th, 2016Payment is due with application

Preferred Listing on our website and e-newsletterWe will only list your name, business name, service and website on our website and newsletters unless otherwise stated below:

The Temple Readers and Healers Application
and Release of Liability Form for the
25th Annual Women of Wisdom Conference
Feb. 18 - 20, 2017 at North Seattle College

Application Deadline November 25th, 2016
Payment is due with application

Preferred Listing on our website and e-newsletter
We will only list your name, business name, service and website on our website and newsletters unless otherwise stated below: