After the Gold Rush Festivals, Promoters of arts and crafts Festivals

33rd AnnualARNOLD SPRING PEDDLER'S FAIREMemorial Day Weekend - May 28 & 29, 2011APPLICATIONNAME________________________EMAIL(Clearly Please)________________________________BUSINESS NAME________________________________PHONE__________________________ADDRESS_______________________CITY_____________________ST______ZIP____________MERCHANDISE FOR SALE OR FOOD MENU (List EVERYTHING you intend to sell):________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ No. of Spaces ____ _____$70 - General _____$80 - General with electricity (VERY limited - NO 220v _____$90 - Food Booths** OR Pre-Packaged foods** Electricity? ___yes ___no (NO 220v) _____$50 - Non-Profit (Food/local only); $55 with electricity Electricity? ___yes ___no (NO 220v) _____Total Fees Enclosed (Make checks payable to Kim Patillo) **Health permits are not required; no need to contact the Health DepartmentDON'T FORGET TO INCLUDE YOUR SELF-ADDRESSED, STAMPED (.44 cents) ENVELOPE-Thanx!LIABILITY CLAUSE:I hereby agree to hold Kim & Mark Patillo, After the Gold Rush, Bristols Cafe,their employees, or volunteers harmless from any liability I may incur while at this event or on theirproperty.Signed:______________________________________Date:___________________________Please send application, fee, and a self-addressed, stamped (with 44 cents postage) envelope to: Kim Patillo, After the Gold Rush, P. O. Box 5171, Walnut Creek, CA 94596
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