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9. Has your event received Lodging Tax funds in previous years? <br />Yes No X <br />If yes, please list each year and the amount received for that year. <br />All applicants must also provide the following information regarding the event/project: <br />Prior Year Projected <br />A. How many participants and spectators 225 250 <br />attended last year's activity and/or will <br />attend this year.? <br />B. How many days did/will your event occur? 3-4 3-4 <br />C. How many room nights were and/or will be Can't verify 535 <br />booked as a result of your project/event In excess of <br />(You must provide a verifiable source of informotior 350 is <br />as evidence for your response to item C. Failure to do known <br />so will disqualify your application.) <br />Numbers are based on information from the conference sponsors and are based on hotel <br />Information gathered from previous conferences. The hotel block of 125 rooms was <br />completely sold out and other hotels were booked around town. <br />10. Application Certification: (attached) <br />The applicant here certifies and affirms: 1. That it does not now, nor will it during the <br />performance of any contract arising from this application, unlawfully discriminate <br />against any employee, applicant for employment, client, customer, or other person who <br />might benefit from said contract, by reason of age, race, color, ethnicity, sex, religion, <br />military status, sexual orientation, creed, place of birth, or disability; 2. That it will abide <br />by all relevant local, state and federal laws and regulations and; 3. That it has read the <br />information contained in the Instructions on pages 1 and 2 and understands and will <br />comply with all provisions thereof. <br />_-� <br />Certified by: (signature�a� 1 <br />(print name) _��CE) <br />Title: <br />Date: _ q_3C) <br />County -wide Lodging Tax Application Page 117 <br />