2009 Vendor Reservation

Company Name: __________________________________________________
(Important please print clearly - this information used for an ID sign)

Contact person: _________________________________________

General description of products: ___________________________

__________________________________________________________

Address: ________________________________________________

City: ____________________________________________________

State: ___________________     Zip:   _________________________

Phone: ____________________  Fax: ________________________

Email: ____________________________________________________

Cell phone: ________________________________________________

Will you need electric service?
   Yes ______         No ______

For more information please contact:
Nancy Johnson (DPCA Vendor Chairperson)
(508) 291-0679 or at ManarjjDobes@aol.com
 

Please be advised that concessionaires will be held responsible for any damages they have caused during the event, and will be billed directly for any necessary repair costs. 

Payment must be made in US Funds and drawn on a US bank. There will be a $25.00 service charge for any check not honored by the bank. No refund for cancellations made after August 1, 2009

Print, complete, and mail this form along with your check/money order made payable to DPCA to:

Nancy Johnson
37 Edgewater Way 
Wareham, Massachusetts
02571-2101   USA