Pioneer Day Committee of Lafayette County Florida

Please mail to:

PRIMARY CONTACT NAME: __________________________________________________________________

BUSINESS NAME: ____________________________________________________________________________

ADDRESS:___________________________________________________________________________________

CITY: ___________________________________________________ STATE:  _____________ ZIP: ___________

COMPANY: __________________________________________________________________________________

HOME PHONE:_________________________  BUSINESS PHONE: ____________________________________

TAX NUMBER: _______________________________________________________________________________

EMAIL ADDRESS: ____________________________________________________________________________

Please Note:

Ø      To receive a space a current copy of your tax number must be included. If we do not receive a tax number we will be unable to assign a space.

Ø      Spaces are given on a first come first serve basis

Ø      Vendors purchasing a space for both Saturday and Sunday will receive a discount, shown below.

Ø      Applications not POSTMARKED by August 31^st, 2007 will be subject to a 10% late fee, due before both space is assigned, be sure to have correct contact numbers above.

Ø      No vendor will be allowed to break down until closing for that day.  Any vendor found breaking down before closing for that day will not be invited to participate next year.

Ø      Craft spaces are 12 by 12 feet, food spaces are 12 by 24 feet.

Ø      No generators will be allowed within the park without prior written approval by the committee.  Only specially adapted generators that create no more noise than an idling vehicle are approved.

~PLEASE CHECK THE APPROPRIATE BOXES~

AMOUNT ENCLOSED: _______________________________ (No spaces will be assigned until paid in full)

GENERAL DESCRIPTION OF ITEMS:________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

I hereby acknowledge and agree to the above information and conditions.

____________________________________________________                _______________

Signature                                                                                                                Date

116 SW Monroe Ave. Mayo, FL 32066 *(386) 294-2705* www.lafayettecountychamber.com