April 7, 2013, 12:00pm - 5:00pm, Ted Constant Convocation Center, 4320 Hampton Blvd, Norfolk, VA 23508. Indoors Only

Deadline February 15, 2013. Payments must be received by March 1, 2013. For questions or concerns, contact the Office of Intercultural Relations at Old Dominion University by phone at (757)683-4406.

Contact Information

Fields marked with a star are required.

Business Name*

Contact Person*

Street Address*

City*

State*

Zip Code*

Telephone*

Fax

Email*

Website

Vendor Information

You will be provided with one 8 ft. bare table and two chairs. You may mark if you also require any additional materials on the list. Please total your payments on the provided line. Payments are by cheque, money order, MasterCard or Visa credit card only.

Please make cheques payable to Old Dominion University, with OIR in the reference section.

To charge a credit card, you must fill in the credit card payment area below and then call Cynthia Williams, Fiscal Technician at (757) 683 4406 to authorize your card by phone. Do not write your credit card number on this form.

Table description *

Organization Description*

Please let us know if you will need the following materials. (US Dollars)

If no materials required, please enter 0.00.

Total Due *

Name on Credit Card

Card Number:Call to authorize you card by phone.

Expiration Date

CV2 Number

The submission of this form does not guarantee your participation in the International Festival.