APPLICATION FORM
RUSSELL FAIR
NON-FOOD CONCESSIONS
2010

NAME: __________________________________E-mail__________________________________

ADDRESS: _____________________________________________________________________

POSTAL CODE: ____________ PHONE:(___)_________________FAX:(___)_________________

TYPES OF ARTICLES TO BE SOLD OR DISPLAYED:_____________________________________

_______________________________________________________________________________

BRINGING BACKDROP: YES _____  NO ______

REQUESTING 2 CHAIRS & 1 TABLE:       YES_______        NO  ______

PLEASE INDICATE IF YOU WISH SAME LOCATION AS LAST YEAR _______

CURLING CLUB: 10-FOOT FRONTAGE -- $50 + $10/PLUG  =__________________________

OUTDOOR:  10-FOOT FRONTAGE -- $50 + 15 AMP 120 V @ $20   = ___________________

                                                                 -- $50 + 20 AMP 240 V @ $30   =  ___________________

                                                                 -- $50 + 30 AMP 240 V @ $45   =  ___________________

Do you want to be open Friday evening?       YES                NO

Fair Bucks (Cash Cow) participation?             YES                NO

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

SIGNATURE: _______________________________________  DATE: ________________________

Questions regarding this application should be directed to Beth Ruiter at 613 445-5744 

Please return this form, with appropriate payment, to P.O. Box 730, Russell, ON   K4R 1E5.

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 COMMITTEE USE ONLY

 DATE PAYMENT RECEIVED ____________________