Horace Bean Days - Vendor Booth Registration

2. Contact First Name*
3. Contact Last Name*
5. Business Organization / Name*
   Name of the business or group managing the vendor booth.
7. Address1
9. Address2
11. City
12. State
13. Zip
15. Contact Phone*
16. Business Phone
18. Contact Email
20. Sales Tax Permit
    Provide tax permit number
21. Issuing State
    Provide state where permit is issued.
23. Booth Description and Activities*
    Describe the type of product or food to be offered.
24. Vendor Type

    1. Food ($50 fee)
    2. Products / Other ($25 fee)
    3. Non-Profit Organization ($0 fee)

    Submit a separate form and payment for each booth requested.
26. By submitting this form, Vendor hereby releases Horace Bean Days and all parties involved with the planning, organizing, and staging of the festival from damage and/or personal injury inflicted or incurred during the Horace Bean Days. I (We) have read the Horace Bean Days agreement and commit to fulfill all requirements. We also give consent that picture and/or videos, including representatives of our organizations, may be used for promotional purposes. Submitted booth fees are NOT refundable.
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field