Piedmont Triad Farmers Market Fall Craft Fair Application
By Country Cupboard Crafts, LLC
October 12, 13, & 14, 2012
NAME: ________________________________________________________________
BUSINESS NAME: ______________________________________________________
Mailing Address: ______________________________________________________
City: __________________________________________State:______Zip:__________
Telephone (Home) ( _) ____________________ (Work) _ (____) ________________
EMAIL Address: _____________________________Cell (____) ________________
Description of your handmade craft/s: ______________________________________
________________________________________________________________________
FEE: $100.00 per 12 X 12 space.....Days participating: Fri_____Sat______Sun_ ____
Have Truck/ Trailer or vehicle over 20ft: YES: ______NO:______
MAKE CHECKS/MONEY ORDERS PAYABLE TO: Tom Skiba
REMIT signed application, show fee, AND 3 Color Photos
TO: Tom Skiba Home Phone: 336-993-7097(leave message) 309 Lakeside Dr Cell: 336-816-1553
Kernersville, NC 27284 E-mail: FarmMktSkiba@AOL.COM
I will not hold the Market or Country Cupboard Crafts, LLC or any of their affiliates liable for claims, injuries, costs, losses, or damages that may occur as a result of participating in this event.
SIGNATURE: ______________________________________DATE:______________
I also understand that there is NO resale, NO commercial, NO supplies, and NO trademark, copyright, or patented items allowed at this event. This event is handcrafted items only.
SIGNATURE: ______________________________________DATE:______________
