Please complete and return this form with appropriate fee and ST-19 form, certificate of liability insurance, copy of health certificate to:
Kanabec County Fair Larry Bryant 2477 Olympic St. Brook Park, MN 55007
Name of Company/Organization:_____________________________________________________
Contact Person :_____________________________ Phone#_________________
Address:_____________________________________________________
City:_______________________ State: _____________Zip:____________
Booth use/product:_____________________________ (Insurance, political, vacuum cleaners, etc. so we may try not to place competing products next to each other.)
Food Venders fill in name of local non-profit sponsor organization name here and contact person: _____________________________________________________________________________________
TYPES OF BOOTHS/SPACE AVAILABLE (Please circle type wanted).
Require Electricity.... Yes or No (circle one)
Inside 8’X12’ ------------------------------------------------------$100.00
Outside 24’X12’ (without electricity)-------------------------$100.00
Outside 24’X12’ (with electricity)----------------------------- $110.00
Food Concession Outside 24’X12’………………………$150.00
Permanent Concession/Building___________________________________$________
Fill in your electrical requirements: .________________________Wattage usage_________________
Please make checks payable to Kanabec County Agriculture Society (K.C.A.S.)
NOTE: After July 1, 2007 all prices are $20.00 more. By signing this I agree to all requirements listed in the Vender Concession Information sheet.
Date completed:_______________________ Signature:_______________________________
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