“The Depot” West of Avoca Town Hall

Vendor Name____________________________________________________________

Home Address___________________________________________________________

Business Name (if applicable) ______________________________________________

Business Address (if applicable) ____________________________________________

Home Phone # ________________________________ Cell # _____________________

email __________________________________________________________________

Please circle items you wish to feature in your space. Circle all that apply.

Fresh Produce Handmade Artwork

Canned Produce (jam, jelly, relish, honey) Handmade Furniture

Fresh Flowers/Herbs Handmade Jewelry

Potted Plants/Herbs Handmade Toys

Dairy/Eggs Other ________________________

Handmade Quilts/Textiles Other ________________________

Please circle service you wish to provide.

Food/Drink Booth-List menu ______________________________________________

________________________________________________________________________

Pony Rides

Clown(s) With Balloons

Face Painting

Other __________________________________________________________________

Business-List what products/service you provide ______________________________

________________________________________________________________________

List names of person(s) manning booth during business hours___________________ ________________________________________________________________________

Signature of Applicant Date of Application

The Town of Avoca will not be responsible/liable for theft, damages, injuries, etc.

FOR BUSINESS USE ONLY

Date/Time Received By Farmers Bazaar Committee___________________________

Approval Date __________________________ Date $25 Received______________