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EDGE&TA Branch # |
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Name: |
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Mailing Address: |
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Business Name: |
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Mailing Address: |
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Business Phone: Business Fax: |
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Home Phone: E-Mail address: |
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Specific Description Sales: Products, Crafts or Materials |
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Number of persons working in booth: |
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Name of persons that will be working |
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Spaces are 10 x 10, how many spaces are required? |
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Number of days needed: |
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Specific requirements: Electric hookup, etc: |
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10 x 10 spaces are $ per day. No refunds after date |
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Amount enclosed: $ |
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Applicants Signature: Date: |
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Make Check payable and Mail to: |
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EDGE&TA Branch #: |
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Branch address: |
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Branch City/State/Zip: |
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In order to set up at our shows a certificate of
liability insurance indicating general liability coverage with minimum
limits of $1 million. It must name the Early Day Gas Engine & Tractor
Association, Inc. and Early Day Gas Engine & Tractor Association, Inc.
Branch Number_____ as an additional named insured. The certificate is
required with this application. |
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