Vendor Registration Form Dell Blair Memorial Chili Cook-off & Fall Fest Sunday, September 11, 2016 10:00 am – 3:00pm

Details:  Vendors may set-up any time after 9 am  Vendors will be located inside the Lake City Community Building  1 vendor space is a 12 x 12 foot area  Payment is required to reserve space

Space Price 12 x 12 Non-electric $15 IF RECEIVED BY Monday, 9/5 12 x 12 Electric $15 IF RECEIVED BY Monday, 9/5 2 12x12 Spaces $25 IF RECEIVED BY Monday, 9/5

Return bottom of registration form to: Lake City Betterment Association P.O. Box 72 Lake City, IA 51449 Registrations can also be emailed to [email protected]

For questions contact: Tiffany Green, Betterment President @ [email protected] or (712) 464-7611

Vendor Name: ______Name: ______Items being sold/marketed: ______Address: ______City, State, Zip: ______Phone: ______E-mail: ______Non-Electric _____ Electric _____ 1 - 12x12 _____ 2 - 12x12 Will you be serving prepared food items? __ YES __ NO (If yes, additional paperwork and procedures must be completed to comply with Iowa’s food safe laws) Restrictions Apply The Lake City Betterment Association (LCBA) believes in strengthening the community by supporting small businesses and entrepreneurs. The LCBA is in the business of selling spaces to make our Western Days Celebration full and exciting. Proprietorship is not given to any company or individual. We will make you aware if there is another vendor selling from your same company but we will not enforce your company’s policies. This is the responsibility of your individual companies and not the LCBA. Thank you for your understanding.

 Your space is tentatively held with an email but payment must be received by the LCBA within 7 days to guarantee your space and above pricing