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Little Cousin Jasper Festival, Inc.
Booth Application

Print and mail along with remittance  before September 1, 2001 to:
Little Cousin Jasper Country Festival, Inc.  Rensselaer, Indiana 47978

Name: ______________________________________________
Phone: _____________________
Address: ______________________________________________
______________________________________________
Name of Organization:  _____________________________
if applicable
Define Special Need:  _________________________________
_______________________________________________________
Check One or More:
Arts _____  Crafts _____  Informational _____  Games ____

Water is available from the two fire hydrants on the South side of the Courthouse.  Bring your own bucket! 

I agree that I will not hold the Festival Committe liable for loss, damage, or injury for my property during the course of the festival.
Insurance ID #: _______________________________________

Registered Retail Merchants Certificate #:

______________________________________________
The Festival Committee reserves the right to ask that any items which are determined to be detrimental to the festival be removed.

Signed:

______________________________________________
Date: ____________________________
 
 
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