APPLICATION FORM
RUSSELL FAIR
FOOD CONCESSIONS
2010

ADDRESS: ______________________________________________________________________________

POSTAL CODE: ___________  PHONE: ( ___ )__________________FAX: ( ___ )_____________________

FOODS TO BE SOLD: ____________________________________________________________________

ATTENDING THURSDAY EVENING:  _____ YES        _____ NO

PLEASE INDICATE IF YOU WISH SAME LOCATION AS LAST YEAR _______

___      BEER GARDEN (includes hydro)   -  $500.00

FOOT FRONTAGE REQUIRED (must include trailer hitch and any additional trailers required for storage or accommodations)                                         # of Feet X   $15 = _______________

HYDRO REQUIRED (must include requirements for storage/accommodation trailers)

                                                            ____ 15 AMP 120 VOLT   -   $20 = ________________

                                                            ____ 20 AMP 240 VOLT   -   $30 = ________________

                                                            ____ 30 AMP 240 VOLT   -   $45 = ________________

                                                            ____ 40 AMP 240 VOLT   -   $75 = ________________

                                                            ____ 60 AMP 240 VOLT   - $120 = ________________

                                                                                                         TOTAL = ________________

Fair Bucks (Cash Cow) participation?             YES                NO

Questions regarding this application and the location of concession spaces should be directed to Gerry Wever at 445-0904 or Beth Ruiter at 445-5744.

I agree to the attached Terms and Conditions for Concessions at the 2010 Russell Fair.

SIGNATURE: ________________________________________  

DATE: ______________________

Enclosed: ____  Payment

                 ____  $2,000,000 Certificate of Insurance naming the Russell Agricultural Society as an additional insured

                 ____  Photograph of concession (if new concession)

Return applications, Certificate of Insurance and photograph to Russell Agricultural Society, P.O. Box 730, Russell, ON   K4R 1E5.