Kanabec County Fair Registration FOR 2010!!

    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:  Must be completed.                                                                     _____________________________________________________________________________________   

                                                TYPES OF BOOTHS/SPACE AVAILABLE (Please circle type wanted).

                                             Require Electricity.... Yes or   No (circle one)

                                           Inside 8’X12’ ------------------------------------------------------$100.00

                                        There is one 8’X8’ space available-------------------------------$90.00

                                         Outside 24’X12’ (without electricity)---------------------------$100.00

                                         Outside 24’X12’ (with electricity)------------------------------ $110.00

                                         Food Concession Outside 24’X12’…………………………$150.00

                                         Wireless Internet Setup ……………………………………..$20.00

                                          Permanent Concession/Building___________________________________$________

                                                Total Enclosed _________________________________      

                                     Fill in your electrical requirements: .________________________Wattage usage_________________

                                  Please make checks payable to Kanabec County Agriculture Society (K.C.A.S.)

     NOTE:  After July 1, 2010 all prices are $20.00 more.  By signing this I agree to all requirements of the Kanabec County Fair.

         Date completed:_______________________      Signature:_______________________________

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