Mother Earth Hands-On Harvest Fair

A Celebration of Sustainable Living & Healthy Local Solutions
September 23, 2012 10am-5pm

Participant (vendor/exhibiter) Application

Please print and mail this form.

Contact Name:________________________________________________________

Organization or Business Name (if applies):__________________________________

Website:___________________________

Address:________________________________________________________________

________________________________________________________________________

Phone #s:_________________________ Email:________________________________

Is a 10x10 outdoor space sufficient?_________________________________________

Very Brief Details of Business or Org. ______________________________________

_______________________________________________________________________

________________________________________________________________________

$50 Vendor fee enclosed (for profitmaking business -- checks made out
to "Spoutwood Farm")__________

$25 fee for Farm or Local Food Business or Organization____________

$50 fee not necessary (non profit organization)___________

Please send to: Spoutwood Farm, 4255 Pierceville Rd, Glen Rock, PA 17327

Rob:717-235-6610

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www.spoutwood.org