|
Worcester, VT Historical Society |
| Buy Local Donation/Application Saturday, May 17th, 2008 ~ 10am -1pm Doty Gym Worcester, VT
Please Print form, complete and return to: |
| Name_____________________________________________________________________________ |
| Company Name_____________________________________________________________________________ |
| Address___________________________________________________________________________ |
| City____________________________________________State________Zip___________________ |
| Phone______________________________________ Cell___________________________________________ |
| Email (for use only if there is a problem with the order)_________________________________ok to print? |
| Website:__________________________________________________________Yes__ No ___ |
| Description of Donation for Silent Auction or Activity Donation |
| please bring donations or set -up activities at Doty by 9am
prior day drop-off can be arranged - please call 223-1505 |
| Silent Auction Donations are best valued at $25 or better. |
| If your activity is food as a fund raiser for your group please donate 10 % of your sales to the fireworks |
| _______________________________________________________________________________________________ |
| _______________________________________________________________________________________________ |
| Retail Value ________________________ |
| Booth Space Specifications: The room will be marked off in approx. 10x10 booth spaces around the walls of the room. Please bring your own set-up if you can! |
| Do you need a table? Yes___ No ____ 4ft___ 6ft___ 8 ft___ (first requested first served, table availability is limited) |
| Will you have someone at your table? Yes _____ No_____ |
| Will you need to be near an electrical outlet? Yes _____ No_____ |
| Will you be selling products at your table? Yes _____ No_____ |
| If Yes, what will you be selling?_____________________________________________________________________ |
| Contact: Suzanne@dryaddesign.com or call Suzanne 223-1505 with any questions. |
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