2012 Heritage Day
Vendor Form
October 20, 2012

               Name ___________________________________________ 

               Street ___________________________________________ 

               City ________________________________ Zip _________ 

               Phone __________________________________________ 

                Email _____________________@____________________

                Spaces ______ X $25.00 = Amount Due________________

 PLEASE GIVE DESCRIPTION OF YOUR CRAFT AND/OR DEMONSTRATION

 ______________________________________________________
 

 ______________________________________________________
 

 ______________________________________________________

Please complete, detach and mail the entry form with remittance to:

 (MAKE CHECKS PAYABLE TO)

WBSSRH
P.O. BOX 6, WASHINGTON BORO, PA 17582
 

QUESTIONS???
Contact Patty McKonly
 471-8634
pattymckonly@comcast.net

 or
Charlie Douts 684-9542

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