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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 <br />attended last years activity and/or will attend <br />this year? 5,000 6,000 <br />B. How many days did/will your event occur? 8 10 <br />C. How many room nights were and /or will be <br />booked as a result of your project/event? <br />(You must provide a verifiable source of information as <br />evidence for your response to item C. Failure to do so <br />will disqualify your application. ) 80 120 <br />*This reflects 2014, as we do not yet have data for 2015 <br />10. Application Certification: <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 In,striKtions on ages 1 and 2 and understands and will <br />comply with all provisions t eof. <br />Certified by: <br />(signature) <br />(print name) <br />Title: _ <br />Date: q 1z 15 -- <br />County -wide Lodging Tax Application P a g e 1 15 <br />