October 1-3, 2010

  

BUSINESS NAME:___________________________________________________________________________________________________________
   

NAME:____________________________________________________________________________________________________________________
   

ADDRESS:_________________________________________________________________________________________________________________
   

CITY, STATE & ZIP:________________________________________________________________________________________________________
   

PHONE: _____________________________________

 E-MAIL: ______________________________________________________________________
   

(Registration Deadline August 31, 2010)
Click here for Rules and Regulations
_____ Early Bird Special - $25 discount if registered by August 13th, 2010                                  _____ Yes, I participated in this event last year.
 
I will need a  _____ 10x10 booth for $150 ___10x20 booth for $250 ___10x30 booth for $350 
Size ______________ Food Vendor  – Please note that you are responsible for gray water & grease disposal
   
___ I need electricity for ($50) _____ watts ____ amps (50 amps maximum allowed per town code)
   

AMOUNT ENCLOSED $_____________

CREDIT CARD #_____________________________________ EXP ______________
 

3 DIGIT CVN # ON BACK OF CARD __________________________

q       COPY OF NM STATE TAX ID CERTIFICATE_________________________________________________________________________________
q       COPY OF INSURANCE CERTIFICATE  

DESCRIPTION OF ITEMS SOLD:__________________

 ______________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________________

Photos of your crafts must be included for approval. Photos will be returned at the show.
   
I have read the attached rules and regulations and agree to abide by them.

Signature: _________________________________________________ Date: _______________________
   
 

APPLICATIONS WILL NOT BE PROCESSED WITHOUT THE FOLLOWING:
(Applicant Please Check off)
  _______ FULL PAYMENT
  _______ PHOTOS
  _______ COPY OF NM TAX ID CERTIFICATE
  _______ COPY OF INSURANCE CERTIFICATE

Please send payment to:  Red River Chamber of Commerce * PO Box 870 * Red River, NM 87558 *

   
FOR OFFICE USE ONLY:  
APPROVED          ______ YES   _____ NO
   
COMMENTS:_______________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________