Jurisdictional AIM Chairman, Zachary N. Hicks

NORTHEAST MICHIGAN (HISTORIC FIRST) JURISDICTION CHURCH OF GOD IN CHRIST
Bishop P. A. Brooks, Jurisdictional Prelate, 1st Assistant Presiding Bishop COGIC
Jurisdictional AIM Chairman, Zachary N. Hicks
STATE AIM CONVENTION 2015
Convening Monday – Friday, June 22-26, 2015
Location: Faith Clinic Church of God in Christ, 12260 Camden, Detroit, MI 48213
Vendor Setup time: 5:45 pm
VENDOR REGISTRATION FORM
Company/Ministry: _________________________________________________________________
Contact Name: _____________________________________ Position: ________________________
Address: __________________________________________________________________________
City/State/Zip: ______________________________________________________________________
Telephone: __________________________________ Cell No: _______________________________
E-mail: ___________________________________________ Fax No: __________________________
Description of product(s) to be sold, displayed, distributed: ________________________________
___________________________________________________________________________________
Vendor Tables will be assigned according to the date fully paid registrations are received.
All Vendor spaces are on the Main Floor.
An 8 foot table will be provided.
Limitation of Liability: Vendor assumes the entire responsibility and hereby agrees to indemnify and hold
harmless Faith Clinic Church of God in Christ, its officers, managers, employees, and agents against all claims,
losses, and damages to persons or property, charges or fines and attorney fees arising out of or caused by
Vendor’s installation, removal, maintenance, occupancy or use of the exhibition premises or a part thereof. In
addition, Vendor acknowledges that Faith Clinic Church of God in Christ does not maintain business
interruption and/or property damage insurance covering such losses by Vendor.
Security: Faith Clinic Church of God in Christ will not be responsible for damage to, loss or theft of property
belonging to any exhibitor, their agents, employees or guests. Each Vendor is to carry their own insurance.
STATE AIM CONVENTION 2015
Convening Monday – Friday, June 22-26, 2015
Vendor Registration Form
Page 2 of 2
A maximum of two (2) Vendors may share a table.
Contact Information and Authorization: By including your name and the date below, the Vendor hereby agrees
to all terms, regulations, and conditions set forth on pages 1 and 2 of this Vendor Registration Form.
I am registering for:
Single Table $100 ____
Make Checks Payable to: COGIC (Check or Money Order Amount Enclosed: ________
Vendor Signature: _____________________________________ Date: _____________
Return Form (pages 1 & 2) and Payment to:
Missionary Cynthia Colbert – 586-484-8632
2015 AIM Coordinator
3481 Heron Ridge Drive, Rochester Hills, MI 48309
__________________________________________________________
Committee Only: Date Received: Amount:
Contact Info:
Missionary Cynthia Colbert – 586-484-8632