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Qualatex The Very Best Balloons

Please fill out the form below to apply for a WBC 2010 Distributor Scholarship by February 26, 2010. Your application will be processed and forwarded to a WBC 2010 Participating Distributor, who will contact you with a unique discount code that’s required to receive your scholarship when you register online for the WBC. Discount codes must be used by March 5, 2010. Please be sure to enter information in all the requested fields for fastest response.

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* Required Fields

*
* Last Name:
  Company Name:
* Address 1:
  Address 2:
* City:
* State/Region/Province:
* ZIP/Postal Code:
* Country:
* Phone Number (including area code/country code):
* E-mail Address:
* QBN Member?
* CBA?
* My primary balloon distributor is
* From which WBC Participating Distributor would you prefer to receive your scholarship?
* What is your primary business type?

Balloon Professional
Party Store
Florist
Event/Party Planner – Event Management
Other

Legal Agreement
Scholarship applications will not be returned to candidates. Distributor Scholarships are a discount on registration, not cash. Each scholarship award is made to the recipient alone and may not be transferred to anyone else or used for any other event. Distributor Scholarships are only available through Participating Distributors of the WBC 2010. Recipients will receive a unique discount code to be used upon registering for the WBC at WorldBalloonConvention.com through 12 a.m. CST on March 5, 2010. Once you enter your unique discount code, you will receive the $150 Distributor Scholarship discount. Each discount code can be used only once. In the event that a scholarship recipient cannot attend the World Balloon Convention 2010, no monies will be given to the recipient as the scholarship is a reduction of their WBC registration fee, not cash. Pioneer Balloon Company and its agents, including any Participating Distributor of the World Balloon Convention 2010, are not liable for any legal actions that arise as a result of a recipient’s attendance to the World Balloon Convention 2010. Acceptance of a scholarship implies consent for Pioneer Balloon Company and the World Balloon Convention 2010 Participating Distributors to publish and promote the recipient’s name in any and all relevant publicity materials.