2010 Vendor Registration

Name of Business:  
Contact Name:  
Address:  
City, State, Zip:  
Website URL:  
Phone number  
Resale Permit #:  
Brief Description of Goods or Services:  

Emergency Contact Name & Phone #

 
   
Item # of items Total:
Vendor spaces (10'x10') at $30 each    
Advertisement in Program - $25, include your card    
Total Payment enclosed:    
My signature verifies that I am attending this quilt show at my own risk. In consideration of the acceptance of my application to the Autumn in the Alps Quilt Show by execution of this Registration Form, I hereby release the Thursday Night Strippers Quilt Guild, The Snyder-Highland Foundation, the Jake Jackson Museum and any volunteers connected with this event of and from any and all known and unknown damages, injuries, losses, judgments and/or claims from any causes whatsoever that may be suffered by myself or anyone participating in this event. The Thursday Night Strippers Quilt Guild reserves the right to accept or refuse any vendor application in order to prevent duplication of services.
Signature:  
Date:  

Please make check out to: Thursday Night Strippers. Mail this form to Sharon Workman, 721 Bear Creek Road, Lewiston, CA 96052. For more information, contact Sharon Workman, 530.623.5772