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Vendor Registration Form

Vendor Registration Form

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Published by dharma0814

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Published by: dharma0814 on May 05, 2011
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05/05/2011

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VENDOR REGISTRATION FORM
6
th
ANNUAL ART BLAST ON THE MON
 
GREENSBORO, PASATURDAY and SUNDAY SEPTEMBER 3 & 4, 2011
Saturday ~ 10:00 AM - 5:00 PM Sunday ~ 12:00 PM
 – 
4:00PM
Name and/or Name of Business: ___________________________________________ 
 
Address: ____________________________________________________________ 
 
Telephone: ________________________ Email: ____________________________ 
 
Type of Vendor:
 
 _____Art and Craft sales
 
 _____Antiques
 
 _____Food
 
 _____Interactive Exhibit
 
 _____Demonstrator 
 
 _____Other (Please Describe Below) ______________________________________  ___________________________________________________________________ 
 
Description of Product to be sold, activity demonstrated, or interactive process: ___________________________________________________________________ 
 
Number of 10’ by 10’ spaces needed:
 
EARLY BIRD ARTISTS/VENDOR
(Before June 30) @ $50.00 per space___________________ 
 
ARTISTS/VENDOR
(After June 30) @ $70.00 per space___________________ 
 
DEMONSTRATORS
@ $20.00 per space___________________ 
 
INTERACTIVE ARTISTS/VENDOR
** ___________________ 
 
**(
There is not a fee for one 10’ x10’ space for Interactive Exhibits
; one additional space may beavailable for free depending on when the request is received)
 
Will you need electricity? Yes _____ No _____ 
 
(If Yes there will be an Additional $5.00 Fee)Make checks payable to:
 
Nathanael Greene Historical Foundation
 
P.O. Box 534 Greensboro, PA 15338
 
or Reserve/Make Credit Card Payments Online athttp://artblast.eventbrite.com 
Questions should be directed to Deborah Kembro at dharma0814@yahoo.com
 /
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