45Th Annual Claxton Rattlesnake & Wildlife Festival
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46th Annual Claxton Rattlesnake & Wildlife Festival March 9 & 10, 2013 Commercial Vendor Application
Return to: Evans County Wildlife Club PO Box 292, Claxton, GA 30417 Phone: (912) 739-3820 Fax: (912) 739-3827 [email protected]
Entry Deadline – February 15, 2013. $10 Late Fee, provided space is available. Please print or type legibly. Complete and return with photos (if first time vendor) and payment.
Contact Name ______
Company Name ______
Mailing Address ______
City ______State ______Zip Code ______
Phone (Home/Business) ______Fax # ______
Cell Phone ______
Website ______
Email Address ______
Please provide description of ride, inflatables, amusement, etc. including set-up.
Quantity Amount Due
______16’Wide X 10’ Deep (Outdoor Space) @ 15% commission post event, with a minimum of $500 $ ______
This information is for Evans County Wildlife Club’s use only.
Date Application Rec’d ______Rec’d by ______
Application Approved ______Denied ______
Date Notified ______Notified by: Phone ______Mail ______Email ______
Exhibit Location # ______
Amt Rec’d $ ______Check # ______Money Order # ______Cash ______