Organization Name:            Contact Name:  

Street/PO Box:                                      City:
                 State:                                                    Zip Code:

      Day Phone:                           Evening Phone:

E-mail Address:         

Describe type of organization:

Will you be having any type of fundraising activity?   Yes   No
NOTE: If ‘yes’, please deduct $25.00 from your booth fee.

If “yes”, please describe:

PLEASE SELECT ONE (1):

Your organization is an "Information Booth" only (i.e., brochures, literature, etc.) and will not be holding any
       fundraising activity. A 10'x10' indoor space with one table will be provided at NO CHARGE.

10’ X 10’                              Indoor            Outdoor            ($25.00)
10'X 20’                               Indoor            Outdoor            ($50.00)
Greater than 10’ X 20’      Indoor            Outdoor            ($100.00)
      
                                                                                                                                                          Total: $

Limited electrical hook-up available, check one: 110V   ($10.00)  220V  ($15.00)      Total: $
(You must provide your own extension cords).


If you need extra tables (2’ x 8’), check one:  Qty:  1  2  3    X  $10.00 ea.               Total: $

                                                                                                                                                        Grand Total: $

Will you be supplying your own generator?  Yes   No

  Other special needs/requirements ( i.e. water access, etc.):

Would you like to enter your display in the Non-Profit Display Contest?  Yes   No
(Set-up times for contest are July 29th 12:00 p.m. – 9:00 p.m., July 30th 7:00a.m. – 9:00 a.m. Judging will take place on Saturday, July 30th at 10:00a.m. Food vendors must supply a current food vending permit during fair) .

 Applications must be received by June 20th, 2005 in order to assure your consideration. You will only be contacted if  we no longer have space available.

Refunds can only be approved by Laura Smith (Treasurer). No refunds if notified after June 1st. If you have any questions or would like further information, contact the Morgan County Extension Office at 304-258-8400 or via the Fair Web site, www.morgancounty-wv.org.