COMPANY _________________________________________________

ADDRESS __________________________________________________

CITY ________________________  STATE ______________  ZIP ______

EMAIL ADDRESS _____________________________________________

CONTACT PERSON _________________________PHONE ____________

PRODUCT OR TYPE OF SERVICE _________________________________

INSIDE SPACE ___________________  OUTSIDE SPACE _____________

ONE VENDOR SPACE AT $75.00 EACH _________________ (10’ x 10’)

DOUBLE VENDOR SPACE AT $125.00 EACH ______________ (10’ x 20’)

OTHER SIZE - - - - - - Please call

AUTHORIZED

SIGNATURE ________________________________________________

 

MAKE CHECKS PAYABLE TO:  WICOMICO FARM & HOME SHOW, INC.

MAIL TO:

Bob Driscoll, Sr.                                                                   410 – 430 – 7132

27400 Waller Rd                                                                 winston052@comast.net

Salisbury, MD.  21801