Clone of Shop Local Holiday Vendor Market Application

Please fill out the following information:*

AcknowledgedPlease fill out the following information and return with a $200 booth fee.

$200.00

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Contact Person*

First NameLast Name
Phone Number*
Email*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Name*
Website
Category*

Art, CraftsNon-ProfitClothingDécorEntertainmentHome and BathBaked GoodsI provide a service (mortgage, pest control, etc.)Other
Description of Items Sold*
I acknowledge that load in starts at 8am and I must be set up by 9:45am.*

Acknowledged
I acknowledge that if I cannot stay until the end of the event (4:30pm) that I must email the hours I'm available to mmelancon@kaleidoscopepark.org by February 15th.*

Acknowledged
Should be Empty: