Warsaw Fest Vendor Registration Form
Company Name
*
Contact Name
*
First Name
Last Name
Mailing Address
*
Street Address
Street Address Line 2
City
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State
Zip Code
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Website
Description of Product or Service
*
Pick two times that you would like to be assigned for set up on Saturday morning. We will do our best to accommodate your request
6:30am - 7:00am
7:00am - 7:30am
7:30am - 8:00am
Do you need electricity? (Food Vendors must provide their own generators)
*
Yes
No
If you are a food vendor and have a permit, fill in the Locality Below
I do not have a Health Department Permit and will contact Richmond County Health Department at 804-333-4043
Other
My Products
*
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( X )
Vendor Space 12x12
$
100.00
Vendor Space 12x24
$
150.00
Food Vendor
$
250.00
Enter coupon
Apply
Total
$
0.00
Submit
Should be Empty: