In the threat of severe weather, fire, auto, or home accidents

Being safe is everything!

CONTACT NAME __________________________________________________________________

NAME OF BUSINESS ______________________________________________________________
ADDRESS _______________________________________________________________________
CITY ________________________________ ST _____________________ ZIP ________________
TELEPHONE _____________________________________ FAX _____________________________
ALT. TELEPHONE _________________________________ EMAIL ___________________________
BUSINESS TYPE __________________________________ WEBSITE ________________________

I WOULD LIKE TO KNOW MORE ABOUT

Booth Size

10x10 10x20
Sponsorship Level

Zone

Stage

Presenting

One table, table draping are included with booth space.

Special accommodations available upon request.

Additional information or comments:

PLEASE SUBMIT TO
WGXA-TV * Joanna Hemleb * 599 MLK Jr. Blvd., Macon, GA, 31201