Cider Mill use only
Date Payment Rec’d ________________________ Booth # Assigned ________________________
Payment Type / Amount Rec’d ______________________________________________________________________________________________________________________________________________________
CIDERFEST 2015 ENTRY FORM-NON FOOD APPLICATION
DEADLINE FOR ENTRY SEPTEMBER 1, 2015
You may mail, fax or email this entry form: Mail to: Louisburg Cider Mill, 14730 Hwy. 68, and Louisburg, KS 66053 or, Fax to: (913) 837-5762. Email: email@example.com
This form can also be accessed on our website’s home page. Just look in the red banner towards the bottom of the home page at www.louisburgcidermill.com. Then send the completed form to our email: firstname.lastname@example.org.
CITY, STATE, ZIP
BRIEF DESCRIPTION OF DISPLAY: _________________
I will need__________10 foot space(s) (see Map page for costs). Booth spaces are assigned on a first paid, first served basis.
Booth # (s) 1st Choice __________ 2nd Choice __________ 3rd Choice __________,
I need electricity. _______ $30 per weekend enclosed (Row 100 only. Bring 50′ extension cord to share 20 amps.)
Check desired dates: Sept. 26th & 27th______ Oct.3rd & 4th ______ (Note: We cannot split weekends)
Payment Method: □Check □MasterCard □Visa □Other
Card #: Exp. Date: 3 digit Vcode________________
TOTAL AMT. PAID: $ Check #:
RELEASE AND WAIVER OF CLAIM: I agree that the Louisburg Cider Mill, Inc. is in no way responsible or liable for any damage or loss of any kind to my personal property or being during the events on September 26th & 27th , 2015 and/or October 3rd & 4th , 2015.
All federal, state, and local laws governing retail sales tax must be followed. I understand the rules and regulations of the show and will comply. I realize that failure to comply may result in expulsion from the show.
EVENT WILL TAKE PLACE RAIN OR SHINE. ENTRY FEES ARE NON-REFUNDABLE. VENDORS ARE REQUIRED TO REMAIN SET UP UNTIL 6 P.M. EACH DAY.
MUST BE SIGNED AND DATED BY VENDOR DATE