30th Annual Corncob Festival
July 11 & 12, 2015
City & State___________________________________________________
NYS Sales Tax No.____________________
Vehicle Description__________________License No___________
Doyou need electriccity_____Yes______No First comefirst served?limited
Therewill be a 45.00 charge paid directly to church for RV set up.
Detailed description of the items you will be displaying.
As an exhibitor, I agree to these conditions and requirements of the Corncob
Festival as put forth in the accompanying letter. I agree that the First
Chuirch of God, its members, and Alan Leising will not be held responsible
for any loss ofproperty, theft, orpersonal injurysuffered during or as a result
of participating in the Corncob Festival. I understand that this acceptance of
this application isa commitment to the show and no refunds will be given.
_____Signed and completed application
_____Booth Fee 195.00 Ck made out to Alan Leising
_____Corner space 75.00 extra, add to booth fee
_____Application fee 25.00 made out to Alan Leising. Dep upon receipt
_____3 photos of products and 1 of booth
_____SASE Legal size
Alan Leising Alan Leising
251 Patterson Rd, F16 6035 S. Transit Rd. #42
Haines City. Fl 33844 Lockport, NY 14094
(before 5/1) (after 5/1)