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*******************APPLICATION**********************
(PLEASE RETURN WITH CHECK-KEEP RULES FOR YOUR RECORDS)

Name______________________________________________________________________

Name of Business____________________________________________________________

Address____________________________________________________________________

City_________________________________________State________Zip________________

Telephone #_______________________________ E-Mail____________________________

License plate # of vehicle used in show(1 only)_____________________________________
A parking permit will not be issued unless a license plate # is received
Sales tax permit #________________________________
Product prices: (lowest to highest)________________
Are you bringing a self-contained camper/RV? Yes No

List the craft /foods /children's products you offer:
____________________________________________________

____________________________________________________

____________________________________________________

Check List: Have you enclosed:
___ check for $195.00
___application
___ Self Addressed Stamped Envelope (business size)
___ color photos (3) of products

INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.
GENERAL RELEASE: The undersigned does hereby and forever discharge the Chappell Hill Historical Society of and from all manner of actions, suits, damages, claims, and demands whatsoever in law or equity, from any loss or damage to the undersigned's property while in the possession, supervision, or auspices of the Chappell Hill Historical Society, its agents, representatives, or employees.

By signing this form, applicant agrees to abide by all rules set forth in this application.

____________________________________________________
*****************Applicant's Signature*********