Please enter information for yourself and your business if applicable.

1. What is your first name?

2. What is your last name?

3. Business Name

4. Business Description

5. Business Website

6. Do wish to share a Facebook page? Please list below.

7. Will you require display space. Please note display space is limited. Feel free to describe the display in the other box. You can begin setting up at 4pm.

8. At what email address would you like to be contacted?

9. Business Contact Information

10. I would like to donate a good or service to the raffles. Please describe the good or service in the box below. Please bring the item to the event.