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