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9. Has your event receied Lodging Tax funds in previous years? <br />Yes No ✓ <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 year's activity and/or will <br />attend this year? <br />B. How many days did/will your event occur? _ <br />C. How many room nights were and /or will be <br />booked as a result of your project/event? 205, <br />(You must provide a verifiable source of informatio an s—' <br />evidence for your response to item C Failure to do so J� <br />will disqualify your application. q_qJ[J <br />S�1?CClG�l�. �SClr�CcrG�l� 4�r�� <br />10. Application Certification: 0O <br />The applicant here certifies and affirms: 1. That It does not no )or 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 the Instructionsrcin pages 1 and 2 and understands and will <br />comply with all proviS or thereof. l 1A <br />Certified by: (signature) <br />(print name) <br />Title: <br />Date: <br />County -wide Lodging Tax Application P a g e 112 <br />