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9.Has your event received 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? <br />(You must provide a venfiable source of information as <br />evidence for your response to item C.Failure to do so <br />will disqualtfy your application.) <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,unlawfullydiscriminate <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 l and 2 and understands and will <br />comply with all provisions thereof. <br />Certified by:(signature) <br />(print name) <br />Title: <br />Date: <br />County-wide Lodging Tax Application P a ge |12