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APPLICATION FORM |
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ADDRESS: ________________________________________________________________________ POSTAL CODE: ____________ PHONE:(___)__________________ FAX:(___)___________________ TYPES OF ARTICLES TO BE SOLD OR DISPLAYED:________________________________________ __________________________________________________________________________________ BRINGING BACKDROP: YES _______ NO _______ PLEASE INDICATE IF YOU WISH SAME LOCATION AS LAST YEAR _______ INDOOR: 10-FOOT FRONTAGE -- $50 + $10/PLUG =_____________________________ OUTDOOR: 15-FOOT FRONTAGE -- $50 + 15 AMP 120 V @ $20 = ___________________-- $50 + 20 AMP 240 V @ $30 = ___________________ -- $50 + 30 AMP 240 V @ $45 = ___________________ I agree to the previous page and the attached Terms and Conditions for Concessions at the Russell Fair. SIGNATURE: ______________________________________ DATE: ________________________ Questions regarding this application should be directed to Beth Ruiter at 445-5744 and Judy McFaul 613-445-4161. Please return this form, with appropriate payment, to P.O. Box 730, Russell, ON K4R 1E5. ......…………………………………………………………….................................................................................................. COMMITTEE USE ONLY DATE PAYMENT RECEIVED ____________________ BOOTH SPACE NUMBER ______________________ PASSES FORWARDED NO. _____________________ |
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