Kutztown University

Off Campus Advisory Council
281 McFarland Student Union Building
610-683-1524
ocac@kutztown.edu

Vendor Registration Form-CommUnity Block Party
May 2nd, 2010
12noon-4pm
Business/Organization:__________________________________________________
Contact Person: _________________________________________________________
Most Accessible Phone number:____________________________________________
Email Address: ___________________________________________________________
Please check:
Early Bird (March 4th): _____ $10

Regular (April 2nd): ____ $15

Do you need a table? (Circle one) *Reminder: Electricity will not be available.
Yes

No

Will you be bringing a 10x10 tent? (Circle one)

Yes

No

What type of product, service, or activity will you be providing?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Comments or questions? Please contact:
Meghan Godorov @ 610-683-1524
Address: OCAC- (Off Campus Advisory Council)
Fax Number: 610-683-1521
281 McFarland Student Union
Email: ocac@kutztown.edu
Kutztown University ,Kutztown Pa 19530
THANK YOU

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