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COMPANY___________________________________________________
ADDRESS ___________________________________________________
CITY_________________________STATE____________ZIP__________
CONTACT PERSON___________________________________________
PHONE______________________________________________________
PRODUCT OR TYPE OF SERVICE______________________________
ONE VENDOR SPACE AT $75.00 EA. _____ (10’ X 10’)
DOUBLE VENDOR SPACE AT $125.00 ____ (10’ X 20’)
OTHER SIZE----Please call.
AUTHORIZED SIGNATURE_________________________________________________
MAKE CHECKS PAYABLE TO: WICOMICO FARM & HOME SHOW, Inc.
MAIL TO: Bob Driscoll, Sr. winston052@comcast.net 27400 Waller Rd Salisbury, MD 21801 410 – 430 – 7132
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