./VendorForm.pdf
Juneteenth-Jefferson City
Juneteenth Heritage Festival 2018
June 16, 2018
Exhibitor/Vendor Registration
Event Location: Ellis Porter - Riverside Park
320 Ellis Porter Dr.
Jefferson City, Missouri 65101
Registration Deadline June 8, 2018
 
Agency/Organization*
Address*
City*
Zip
State
Country
Contact Person*
Phone*
Email*
Description of Exhibit
(please give a detail description of how your booth will be used. i.e. sales, display, recruitment, food, etc.
  NOTE:
Booth/Exhibit Space assignment and set-up time is 9:00 -11:00 a.m. Booth tear-down time is by 4:00 p.m.
TYPE OF BOOTH COST #OF SPACES
Individual/Non-Profit Organization
(w/o electricity)
$40.00
Individual/Non-Profit Organization
(w/electricity)
$50.00
Business/Government Agency
(w/o electricity)
$65.00
Business/Government Agency
(w/electricity)
$75.00
Please indicate if you plan to bring a canopy/tent or umbrellas
Yes    No   
Size
If You Wish to Register for a Booth by Paper Form
Please Click HERE to Download the Form and:
SEND COMPLETED REGISTRATION AND PAYMENT TO:
JUNETEENTH-JEFFERSON CITY
P. O. Box 1241
Jefferson City, MO 65102-1241
State Vendor Number: 2624949250-0
For information or questions please contact: W. T. Edmonson or Seth Bauman
(573) 893-4191/ Fax: (573) 893-5562 or e-mail: juneteenthjc@aol.com.
I understand that Juneteenth-Jefferson City is not responsible for the loss of or damage to equipment, personal injuries, or property damage. I will not be a part of any legal action against Juneteenth-Jefferson City or its Board.
Signature
Date