2014 Autumn Food & Wine - Gourmet Marketplace Registration
Saturday, September 6 & Sunday, September 7, 2014
. Vendor Registration
Yes, please sign us up to participate. Booth fee is $300.00
Yes, I need electricity.
. Company Name (this will be used for your sign at the event)
Company Name (this will be used for your sign at the event)
. Please provide company contact information.
Please provide company contact information.
-- select state --
AS American Samoa
DC District of Columbia
FM Federated States of Micronesia
MH Marshall Islands
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
VI Virgin Islands
WV West Virginia
Contact Email Address:
. We are showcasing the following products (Please be specific):
We are showcasing the following products (Please be specific):
. If you will be sampling food products, please provide the county your business is located in.
If you will be sampling food products, please provide the county your business is located in.
. Please provide your health permit number.
Please provide your health permit number.
. Payment method:
Please provide best number to call for payment information below:
. Additional Comments:
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