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APPLICATION FORM }{\hich\af1\insrsid1593546 
\par }\pard\plain \qc \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid1593546 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\fs40\insrsid1593546\charrsid1593546 Russell Fair
\par }\pard\plain \s6\qc \li0\ri0\keepn\nowidctlpar\wrapdefault\faauto\outlinelevel5\rin0\lin0\itap0 \b\fs40\lang1033\langfe1033\loch\af1\hich\af0\dbch\af0\cgrid\langnp1033\langfenp1033 {\hich\af1\insrsid13639524  FOOD CONCESSIONS
\par }\pard \s6\qc \li0\ri0\keepn\nowidctlpar\wrapdefault\faauto\outlinelevel5\rin0\lin0\itap0\pararsid4540317 {\hich\af1\insrsid4540317 20}{\hich\af1\insrsid10649061 10}{\hich\af1\insrsid13639524 
\par }\pard\plain \ql \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid4540317 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid4540317\charrsid4540317 
\par }\pard \qj \li0\ri0\nowidctlpar\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx6480\tqdec\tx7200\tx7920\tx8640\tx9360\tx10080\tx10800\tx11520\tx12240\tx12960\wrapdefault\faauto\rin0\lin0\itap0 {
\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524 \hich\af0\dbch\af0\loch\f1 NAME: _________________________________}{\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid1926515 \hich\af0\dbch\af0\loch\f1 ______}{
\b\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid1926515\charrsid1593546 \hich\af0\dbch\af0\loch\f1 E-m}{\b\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid8544435\charrsid1593546 \hich\af0\dbch\af0\loch\f1 ail}{
\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid8544435 \hich\af0\dbch\af0\loch\f1 :}{\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524 \hich\af0\dbch\af0\loch\f1 _________________________________
\par 
\par \hich\af0\dbch\af0\loch\f1 ADDRESS: ______________________________________________________________________________
\par 
\par \hich\af0\dbch\af0\loch\f1 POSTAL CODE: ___________  PHONE: ( ___ )__________________FAX: ( ___ )__________\hich\af0\dbch\af0\loch\f1 ___________
\par 
\par \hich\af0\dbch\af0\loch\f1 FOODS TO BE SOLD: ____________________________________________________________________
\par }{\fs22\ul\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524 
\par }{\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524 \hich\af0\dbch\af0\loch\f1 ATTENDING THURSDAY EVENING:  _____ YES        _____ NO
\par 
\par \hich\af0\dbch\af0\loch\f1 PLEASE INDICATE IF YOU WISH SAME LOCATION AS LAST YEAR _______
\par 
\par }\pard \qj \li0\ri0\nowidctlpar\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx4860\tx6480\tqdec\tx7200\tx7920\tx8640\tx9360\tx10080\tx10800\tx11520\tx12240\tx12960\wrapdefault\faauto\rin0\lin0\itap0 {
\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524 \hich\af0\dbch\af0\loch\f1 ___\tab {\*\xmlopen\xmlns1{\factoidname place}}{\*\xmlopen\xmlns1{\factoidname PlaceName}}\hich\af0\dbch\af0\loch\f1 BEER{\*\xmlclose} {\*\xmlopen\xmlns1
{\factoidname PlaceType}}\hich\af0\dbch\af0\loch\f1 GAR\hich\af0\dbch\af0\loch\f1 DEN{\*\xmlclose}{\*\xmlclose} (includes hydro)   -  $}{\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid10649061 \hich\af0\dbch\af0\loch\f1 5}{
\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid4540317 \hich\af0\dbch\af0\loch\f1 00.00}{\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524 \hich\af0\dbch\af0\loch\f1  
\par }\pard \qj \li0\ri0\nowidctlpar\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx6480\tqdec\tx7200\tx7920\tx8640\tx9360\tx10080\tx10800\tx11520\tx12240\tx12960\wrapdefault\faauto\rin0\lin0\itap0 {
\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid4540317 
\par 
\par }{\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524 \hich\af0\dbch\af0\loch\f1 FOOT FRONTAGE REQUIRED }{\b\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524\charrsid8544435 \hich\af0\dbch\af0\loch\f1 (}{
\b\fs22\ul\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524\charrsid8544435 \hich\af0\dbch\af0\loch\f1 must include trailer hitch and any additional trailers required for storage or accommodations)}{
\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524 \tab \tab \tab }{\fs22\ul\lang4105\langfe1033\loch\af1\langnp4105\insrsid13119330 \hich\af0\dbch\af0\loch\f1      }{\fs22\ul\lang4105\langfe1033\loch\af1\langnp4105\insrsid13119330 
\hich\af0\dbch\af0\loch\f1        }{\b\fs22\ul\lang4105\langfe1033\loch\af1\langnp4105\insrsid13119330\charrsid9516986 \hich\af0\dbch\af0\loch\f1 # of Feet}{\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524 \hich\af0\dbch\af0\loch\f1  X   $1}{
\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid8544435 \hich\af0\dbch\af0\loch\f1 5}{\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524 \hich\af0\dbch\af0\loch\f1  = _______________
\par 
\par \hich\af0\dbch\af0\loch\f1 HYDRO \hich\af0\dbch\af0\loch\f1 REQUIRED (must include requirements for storage/accommodation trailers)
\par \tab \tab \tab \tab \tab \hich\af0\dbch\af0\loch\f1 ____ 15 AMP 120 VOLT   -   $20 = ________________
\par }\pard \qj \li0\ri0\nowidctlpar\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx4860\tx6480\tqdec\tx7200\tx7920\tx8640\tx9360\tx10080\tx10800\tx11520\tx12240\tx12960\wrapdefault\faauto\rin0\lin0\itap0 {
\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524 \tab \tab \tab \tab \tab \tab 
\par \tab \tab \tab \tab \tab }{\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524 \hich\af0\dbch\af0\loch\f1 ____ 20 AMP 240 VOLT   -   $30 = ________________
\par \tab \tab \tab \tab \tab \tab 
\par \tab \tab \tab \tab \tab \hich\af0\dbch\af0\loch\f1 ____ 30 AMP 240 VOLT   -   $45 = ________________
\par \tab \tab \tab \tab \tab \tab 
\par \tab \tab \tab \tab \tab \hich\af0\dbch\af0\loch\f1 ____ 40 AMP 240 VOLT  -   $75 = ________________
\par \tab \tab \tab \tab \tab \tab \hich\af0\dbch\af0\loch\f1  
\par \tab \tab \tab \tab \tab \hich\af0\dbch\af0\loch\f1 ____ 60 AMP 240 VOLT   - $120 = ________________
\par 
\par \tab \tab \tab \tab \tab \tab \hich\af0\dbch\af0\loch\f1                              TOTAL = ________________
\par }\pard \qj \li0\ri0\nowidctlpar\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx6480\tqdec\tx7200\tx7920\tx8640\tx9360\tx10080\tx10800\tx11520\tx12240\tx12960\wrapdefault\faauto\rin0\lin0\itap0 {
\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524 
\par }\pard \qj \li0\ri0\nowidctlpar\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx6480\tqdec\tx7200\tx7920\tx8640\tx9360\tx10080\tx10800\tx11520\tx12240\tx12960\wrapdefault\faauto\rin0\lin0\itap0\pararsid5524565 {
\b\f1\fs24\lang4105\langfe1033\langnp4105\insrsid5524565\charrsid13120984 Fair Bucks (Cash Cow) participation?}{\f1\fs24\lang4105\langfe1033\langnp4105\insrsid5524565 \tab \tab }{\b\f1\fs24\lang4105\langfe1033\langnp4105\insrsid5524565\charrsid13120984 
YES\tab NO
\par }\pard \qj \li0\ri0\nowidctlpar\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx6480\tqdec\tx7200\tx7920\tx8640\tx9360\tx10080\tx10800\tx11520\tx12240\tx12960\wrapdefault\faauto\rin0\lin0\itap0 {
\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid5524565 
\par }{\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524 \hich\af0\dbch\af0\loch\f1 Questions regarding this application and the location of concession spaces should be directed to Gerry Wever at 445-0904}{
\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid3895504 \hich\af0\dbch\af0\loch\f1  or Beth Ruiter at 445-5744.}{\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid5524565 
\par }{\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524 
\par }{\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524 \hich\af0\dbch\af0\loch\f1 I agree to the attached Terms and Conditions for Concessions at the 20}{\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid10649061 \hich\af0\dbch\af0\loch\f1 10}
{\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524 \hich\af0\dbch\af0\loch\f1  Russell Fair.
\par 
\par }\pard\plain \s4\qj \li0\ri0\keepn\nowidctlpar\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx6480\tqdec\tx7200\tx7920\tx8640\tx9360\tx10080\tx10800\tx11520\tx12240\tx12960\wrapdefault\faauto\outlinelevel3\rin0\lin0\itap0 
\fs24\lang4105\langfe1033\loch\af1\hich\af0\dbch\af0\cgrid\langnp4105\langfenp1033 {\hich\af1\insrsid13639524 SIGNATURE: ________________________________________   
\par DATE: ______________________
\par }\pard\plain \qj \li0\ri0\nowidctlpar\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx6480\tqdec\tx7200\tx7920\tx8640\tx9360\tx10080\tx10800\tx11520\tx12240\tx12960\wrapdefault\faauto\rin0\lin0\itap0 
\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524 
\par }\pard \qj \li0\ri0\nowidctlpar\tx-720\tx0\tx720\tx1440\tx1620\tx2880\tx3600\tx4320\tx5040\tx6480\tqdec\tx7200\tx7920\tx8640\tx9360\tx10080\tx10800\tx11520\tx12240\tx12960\wrapdefault\faauto\rin0\lin0\itap0 {
\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524 \hich\af0\dbch\af0\loch\f1 Enclosed: ____\tab Payment
\par }\pard \qj \fi-1620\li1620\ri0\nowidctlpar\tx-720\tx0\tx720\tx1440\tx1620\tx3600\tx4320\tx5040\tx6480\tqdec\tx7200\tx7920\tx8640\tx9360\tx10080\tx10800\tx11520\tx12240\tx12960\wrapdefault\faauto\rin0\lin1620\itap0 {
\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524 \tab }{\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524 \hich\af0\dbch\af0\loch\f1      ____\tab }{\b\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524\charrsid3895504 
\hich\af0\dbch\af0\loch\f1 $2,000,000 Certificate of Insurance naming the Russell Agricultural Society as an additional insured
\par }\pard \qj \li0\ri0\nowidctlpar\tx-720\tx0\tx720\tx1440\tx1620\tx2880\tx3600\tx4320\tx5040\tx6480\tqdec\tx7200\tx7920\tx8640\tx9360\tx10080\tx10800\tx11520\tx12240\tx12960\wrapdefault\faauto\rin0\lin0\itap0 {
\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524 \tab }{\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524 \hich\af0\dbch\af0\loch\f1      ____\tab Photograph of concession (if new concession\hich\af0\dbch\af0\loch\f1 )
\par }\pard \qj \li0\ri0\nowidctlpar\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx6480\tqdec\tx7200\tx7920\tx8640\tx9360\tx10080\tx10800\tx11520\tx12240\tx12960\wrapdefault\faauto\rin0\lin0\itap0 {
\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524 
\par 
\par }\pard \qj \li0\ri0\nowidctlpar\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx6480\tqdec\tx7200\tx7920\tx8640\tx9360\tx10080\tx10800\tx11520\tx12240\tx12960\wrapdefault\faauto\rin0\lin0\itap0\pararsid5524565 {
\fs22\lang4105\langfe1033\loch\af1\langnp4105\insrsid13639524 \hich\af0\dbch\af0\loch\f1 Return applications, Certificate of Insurance and photograph to Russell Agricultural Society, {\*\xmlopen\xmlns1{\factoidname PostalCode}}{\*\xmlopen\xmlns1
{\factoidname Street}}\hich\af0\dbch\af0\loch\f1 P.O. Box 730{\*\xmlclose}, {\*\xmlopen\xmlns1{\factoidname PostalCode}}\hich\af0\dbch\af0\loch\f1 Russell{\*\xmlclose}, {\*\xmlopen\xmlns1{\factoidname PostalCode}}\hich\af0\dbch\af0\loch\f1 ON{\*\xmlclose}
   {\*\xmlopen\xmlns1{\factoidname PostalCode}}\hich\af0\dbch\af0\loch\f1 K4R 1E5{\*\xmlclose}{\*\xmlclose}.}{\fs22\insrsid13639524 
\par }}