Exhibitor Application

Name_____________________

Address____________________

City_____________State_____

Zip______

Check one:

       ______12 x 12-no electricity

       ______12 x 12-with electricity

       ______Church/School Space

        ______ Number of spaces

Space preference____________________________________________________________

Description of Work:

 

Waiver of Liability: Intending to be legally bound. I waive any and all claims of damages from accident, injury or illness that I may suffer as result of my participation in the 2010 Bonifay Down Home Festival in Bonifay, Fl. Further, I agree that the Festival Committee or any other group of individuals associated with the conduct of this festival shall not be held responsible for my welfare and I will hold said committee and individuals harmless for same.

Exhibitor’s Signature and phone number:

__________________________

E-mail address

__________________________