Name_______________________________________________Phone______________________
Address________________________________________________________________________
City___________________________________________State___________ZIP______________
Type of Items/Service: ____________________________________________________________
Do you wish to be on the Service Side or the Artist & Craft Side?_____________________________
E-Mail
Address___________________________________________________________________
Web Page_______________________________________________________________________
Do
you want to be on our Web Page? Yes No
Do you need power? Yes No
***** I WILL PUT UP #___________POSTERS *****
Cost: $50
per 8’ space -- $75 for 12’ space -- 8 foot Tables $5 each -- Chairs $1
each
Number of 8’ Spaces ___ X $50 = $ _______
Number of 12’ Spaces ___ X $75 = $ _______
Number of tables ___ X $5 = $ _______
Number of chairs ___ X $1 = $ _______
Total Amount Enclosed $______
I agree to assume full responsibility for my property I will bring onto the premises & will not hold the Enchanted Dragon, or Mary of David Alderman, or any other party responsible for any damages, personal injury, or theft that may occur at this exhibit.
I agree to all the rules & regulations. Once accepted I understand all fees are NON-REFUNDABLE.
SIGNATURE___________________________________ DATE___________________
ALL DEPOSITS ARE NON-REFUNDABLE unless show is canceled
FIRST COME FIRST SERVE
For more information: Please contact Mary Alderman 549-5546
E-mail [email protected]
Web Site: http://www.geocities.com/enchanteddragon06/holisticmys.htm