1st ANNUAL CLARKE COUNTY
                                                             BLUEGRASS FESTIVAL
                                                       Archusa Creek Water Park, Quitman
                                                                Friday, May 17, 2013
                                                                   5:30 10:00 p.m.
                                                              Saturday, May 18, 2013
                                                                10:00 a.m. 10:00 p.m.
                                                      VENDORS, SATURDAY ONLY
 

                                                            VENDOR APPLICATION
                                                              Saturday, May 18, 2013
                                                              10:00 a.m. 10:00 p.m.

Complete and return to Clarke County Chamber of Commerce, P.O. Box 172, Quitman, MS 39355

Name________________________________Organization____________________________________

Address______________________________City/State/Zip___________________________________

Phone________________________________e-mail address__________________________________

Please indicate, in blank, number of booths desired in your category of interest.  Booth size is 12 x 12.  Limited electricity.

______arts and crafts                                    ______Food Booth  NO DRINKS
$20.00 per booth                                            $50.00 per booth
+$10.00 for electricity                                    Type of electricity, if any__________
Type of electricity_________

Product descriptioin___________________________________________________________________

Mississippi Tax Number______________________________________.  Alternate tax status handled by the Clarke County Chamber of Commerce.

TOTAL AMOUNT ENCLOSED______________________
A minimal park entry fee will be charged by Archusa Water Park which is not included in the vendor fee.
Vendor fees include 2 tickets to the festival.  All other vendor workers will be charged for the festival.