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Owensboro PumpkinFest


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	ATTN: Julie Campbell 1716 Scherm Rd Owensboro, KY 42301 Voice: 270-926-7278 FAX: 270-926-7091 Email: mailadmin@owensboropumpkinfest.org

2010 Owensboro PumpkinFest Booth Registration Form

Event Dates September 24, 25, 26 2010

(fill out one copy for each booth space rental – must be received by September 10, 2010)

Organization or Business Name: _______________________________________________

Contact Person Name: ______________________________________________________

Address: ________________________________________________________________

City: _________________________________ State: ____________ Zip: ____________

Phone: (______)______________________ Email: _______________________________

Website: _____________________________________ *We will place a link on our website.

____Yes, we would like to be included in the list of Scavenger Hunt Booths..

Item Given out will be ________________________

We are interested in the following type of booth: $75 per space (see page 2 for details)

_____ Food – please list what you will be selling:________________________ Please attach a menu if more space is needed

We need water hook-up and will bring our own hoses______

We have our own hand-washing station and do not need water hook-up______

_____ Activity/Arts/Crafts/Commercial (face painting, crafts, homemade items, etc.)-please describe: _________________________________________________________

_____ Our booth/stand will need electrical hook-up: _____110 _____220 Amps:________

Our 220 NEMA plug is (please check):

10-50 14-30 14-50

We would like our booth to be: Grass: _____ Concrete: ______ Inside: _____

For office use only:
Date Received: _________ Received by: _________ Check Number: _________ Check Amount: _________