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First
Name
* |
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Last
Name * |
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Business
Name |
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Address 1
* |
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Address
2 |
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City
* |
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State
* |
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Zip
* |
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Daytime
Phone * |
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Evening Phone |
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Mobile
Phone
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Fax |
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Email
Address * |
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Re-type
Email * |
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Website
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Business Type
* |
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Commercial
Home Based Business
Food
Non-profit
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Hand Made
Antique
Collectable
Entertainment |
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What
is your product specialty? * |
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Percentage
that is handcrafted? * |
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Percentage
that is manufactured? * |
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Are
you a returning vendor/ participant?
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Yes
No |
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Which
event(s) are you interested in? * |
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Spring Antique Fair
(April 15, 2012) |
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Antique Peddlers' Fair
(September 16, 2012) |
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Christmas Arts & Crafts Fair
(December 1, 2012) |
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Any Event |
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