UNION HISTORICAL FIRE SOCIETY

Vendor Form
Please mail to:
Union Historical Fire Society c/o Mike Kush
2729 Redington Road, Hellertown, PA 18055 E-Mail MIKE723@ENTERMAIL.NET
Make checks payable to U.H.F.S.
Vendors E-Mail Address _____________________________________________
Vendors PA Tax Number ____________________________ Vendor Must have a PA Tax # To Sell at this Show!

______ 8’ x 10’ indoor space @ $60 each: $ ___________

______ Outdoor apparatus spaces @ $35 each: $ ___________
______ New indoor apparatus space: ____ 2 Axle $100 ____ 3Axle $150 $ ___________
______ Wooden display tables @$10 each: $15 on day of event $ ___________
______ Wooden chairs @ $3 each: $ ___________
______ Electricity hook-up @ $20 each: $ ___________
Total for which payment is enclosed: $ ___________
VENDOR / FIRE / AMBULANCE UNIT NAME ____________________________________________________
Your Name ______________________________ Your Phone ( ) __________________
Street & Number ___________________________ City ___________________ State _______ Zip __________
Are you a member of the Union Historical Fire Society Yes ______ No _____