Vendor Registration Form
Vendor Name: ________________________________________________________________________
Address: ________________________________________________________________________
City, State, Zip: ________________________________________________________________________
Phone Number: ________________________ Cell Number: ____________________________________
Fax Number: ________________________ E-Mail: ________________________________________
Vendor Type: Example: Food, Crafts, Tools, Display Only
Please provide brief description:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Type of vendor (1,2,3 or 4): ____________________ Size of space requested: __________________
(See attached Information and
Rates Sheet.)
Do you require water? ___________________ Do you require electricity? ________________
Amount Enclosed for reserved space: _______________________________________________________
To ensure that you have a space
reserved for the 2009 show, you must mail this registration form to one of the
committed members listed below before
Remember this is on a first come, first served basis, and space is limited.
Jerry Collins Gene Bustle
801
N SR
513-932-2486 (H) 513-899-3008 (H)
513-532-2972 (C) 513-646-6397 (C)
margeneb@embarqmail.com
See our web site for additional information http://www.thefarmclub.org