Vendor Registration Form

2023 Exhibitor Application:

Completion of this form does NOT guarantee space will be assigned.
November 1-4, 2023 at the Winnemucca Events Complex
Business Name:*
Contact Person:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number:*

Area CodePhone Number
E-mail*
Website:*
**Stock vehicle license plate number**:*
**No RVs or stock vehicles permitted to park adjacent to Event Center or on blacktop.
PRODUCT LIST: No application will be accepted unless a complete list of all products you intend to sell is included.*
Only NON-FOOD items are permitted.
Were you a 2022 Exhibitor at WSRRA?*

YesNo
**New exhibitors will be assigned at the availability and discretion of the committee following the August 15, 2023 deadline for returning exhibitors. **
Total fees will be due upon application approval.
Nevada Re-Sale Permit #:
Federal Tax ID #:
ELECTRICAL: Do you need electricity?*

YesNo
Amps needed?
Signature

Clear

Vendor Selection

Upper Level 10' x 10'

$275.00 Quantity

Lower Level10' x 10'

$375.00 Quantity

Winnemucca City Business License (required)**If you have a City Business License, please provide a copy

$10.00

Subtotal

$0.00

Tax

$0.00

Total

$0.00

2023 Exhibitor Application: