Pierceton Days Festival Vendor Application

Pierceton Days Festival Vendor Application

Please fill in the form below.
Date*

MonthDayYear
Full Name*

Prefix First NameLast Name
Business Name: *
This is how it will be listed on the website as who is present
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Booth Space Needed*
Yes one outlet for 110vYes one outlet for 220vNoOther
Brief description of booth and/or items for sale:*
Any other information you want us to know? Please understand also that as this year's festival is being restructured normal booth space may no longer be available.
I will pay but I need an invoice sent to me for payment. I am aware my space is not secured until payment has been received.I will mail my payment to: Pierceton Chamber of Commerce P.O. Box 49 Pierceton, IN 46562 in format of cash or check.
Copy of Insurance Coverage

Browse Files

Cancelof
Copy of permit from Kosciusko County Health Department

Browse Files

Cancelof
By entering my name below, I agree that I have read, understand and agree to the 2022 rules and regulations set forth by the Pierceton Days Festival Committee as listed on the Pierceton Chamber of Commerce website. This is including releasing liability from the festival committee, the grounds, and the supporters of such. *
Should be Empty: