OUR TOWN AMERICA, INC. Sportsplex at Coral Springs Sportsplex Drive, Coral Springs, Florida www.ourtownamerica.org

Friday March 9th 6pm-11pm

Saturday March 10th 10am-11pm

Sunday March 11th 12pm-6pm

EXHIBIT APPLICATION FORM
- 2012 -

** ** Type of Exhibit Merchants Arts and Crafts Exhibits Non-Profit Exhibits (Must be 501c(3) Organization) Cost $200.00 + tax $200.00 + tax $125.00 Please Check All 10' X 10' tented spaces will come with one (1) table and two (2) chairs. SPECIAL OUTSIDE ELECTRICAL NEEDS: Vendor spaces allows maximum of 500 watts per space. Special electrical needs are an extra charge to vendor. Contact Our Town America, Inc. for any special electrical requests. Electricity Must Be Reserved in Advance.

To reserve your space, please complete thise form, enclose payment and return it to OUR TOWN AMERICA, INC. Our Town America, Inc. reserves the right of refusal if deemed necessary by the Our Town America, Inc. Board of Directors.

Name:	_________________________________________________________________
Business:	_________________________________________________________________
Address:	_________________________________________________________________
City:	____________________________
State:	____________
Zip:	____________
Phone:	(      )_______________
Brief Description	_______________________________________________________
of Booth Use....:	_______________________________________________________
Email Name:
Email Contact:	_______________________________________________________

Authorized Signature:

_______________________________________________________

Exhibit Space Cost	_________
6% Sales Tax	_________
Total	_________

PLEASE MAIL FORM AND CHECK TO: P.O. BOX 770971, Coral Springs, FL 33077 (954) 752-0126 PLEASE MAKE CHECKS PAYABLE TO: OUR TOWN AMERICA, INC.