I would like to be a Vendor at Wintergrass  2010

 

My Name is                     __________________________________________

My Business Name is       __________________________________________

My Business Telephone # __________________________________________

 

My Home Telephone #       __________________________________________     

 

My Address is                    __________________________________________

                                         

                              State    _______________________Zip________________

 

My Email Address              __________________________________________

 

My Web Site Address        __________________________________________

 

Here is a brief description of my product.

 

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Signature ________________________________Date____________________

Mail to  Roscoe H Gililand,  P O Box 813,  Cle Elum, WA  98943