JCYM BOUTIQUE APPLICATION 2023

Admin

Date

MonthDayYear

Check #

Amt. paid

Space Size

# Tables

Company Name

Contact Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail*

Company Website

Land Line Number

Area CodePhone Number

Booth Size & Table Request*

No table - Approx. 55 sq. ft. - $1551 - 2.5'x6' table - Approx. 55 sq. ft. - $155No table - Approx. 120 sq. ft. - $2901 - 2.5'x6' table - Approx. 120 sq. ft. - $2902 - 2.5'x6' table - Approx. 120 sq. ft. - $290No table - Approx. 180 sq. ft. - $390

PLEASE NOTE: Tables must be draped/covered on the top, front and sides all the way to the floor.

Cell Phone Number*

Area CodePhone Number

Sales Tax Account Number (if you have)

Liability Insurance*

Yes, I have liability insuranceNo, I do not have liability insurance and accept responsibility for any liability issues that occur related to my participation and agree to hold JCYM harmless.

Type of product and Detailed merchandise description(s) (ie: jewelry, clothing, décor)

Display description(s) (if desired, draw table/booth layout & submit at jcympatty@aol.com)

Special considerations for booth

ElectricalDressing area (2 provided for boutique)Other

Please describe:

The above named company is applying to participate in the JCYM 2023 Holiday Boutique and will meet the following:

Attendance on ALL days & times is required Wednesday, November 8thth from 4:00 pm to 9:00 pm and Thursday, November 9th from 9:00 am to 7:00 pm.
Booth set-up will be Wednesday, November 8, 2023 from 12:00-4:00 pm
I am paying/mailing my space rental fee and agree that 15% of gross sales (excluding sales tax & shipping) for these two days will be donated to Johnson County Young Matrons, Inc. (a Not-For-Profit Corporation, #48-0721509).
I understand that JCYM will provide a tax donation letter for my contribution.
Every effort will be made to address your special considerations but no guarantees are made
Location of booth space is at the discretion of the Boutique Chairs
I understand JCYM will notify me if my application is/is not accepted by JCYM.There will be absolutely no refunds unless JCYM does not accept the above application.
All federal, state, and local laws governing retail sales tax must be followed.
Deadline to apply and submit fee is July 15, 2023.

Questions? Call one of the Boutique Chairs:

Melanie Falble - 913-908-7940 or mafalbe@gmail.com

Desi Miller 913-219-6496 or millerdesi@hotmail.com

Patty Gay - 913-226-4679 or jcympatty@aol.com

Booth Fee Total

By checking the box below I agree to the above rules and regulations of the show and will comply. I realize that failure to comply may result in expulsion from the show.*

check to accept by authorized company representative

Select Payment Method*

Pay Online - watch for chg from PayPal, Johnson County Young MatronsBy Ck: Click Submit, Mail Check: Payable to JCYM to : Sharon Milligan, 26340 W Cedar Niles Circle, Olathe, KS 66061-7477

Total Due

Pay Online

USDBoutique Booth Fee

Johnson County Young Matrons, Inc. is a Not-For-Profit Corporation, #48-0721509

Our Mission: To promote a positive future for members of our community through volunteerism, financial support and education.

Address: 7702 Mize Road, Shawnee, Kansas 66227-2913

www.jcym.net