Registration fees for one (1), 10x10 space NON-REFUNDABLE. No electric available. Exhibitor must provide own tent, table and chairs. Buchanan Town Park - 485 Lowe Street $25.00 - received before 5:00 p.m. on Friday, May 30, 2014 $45.00 - received after 5:00 p.m. Friday, May 30, 2014
(full day set-up - by 8:30 a.m. & afternoon set-up - 1:30 p.m. - 2:45 p.m.) MAIL ENTRIES TO: Town of Buchanan, P.O. Box 205, Buchanan, VA 24066 MAKE CHECKS PAYABLE TO: Town of Buchanan - Special Events for Water Trail Fest Organization Name: Contact: Address: City:
State:
Day Phone:
Email:
Zip:
Type of Information to display: Number of Spaces Needed:
Amount Enclosed:
Note: Exhibitor agrees that participation in Water Trail Fest is entirely at own risk and assumes total responsibility for accidents, damages and other claims that result from or during their activities in Water Trail Fest or in transit to/or from the event, whether such occur to the owner or third parties. Owner understands that the Town of Buchanan Special Events Committee, Town of Buchanan & Botetourt County does not assume any responsibility for such liabilities, and Owner agrees to release and hold all sponsors harmless. Owner further agrees that participation in Water Trail Fest is strictly voluntary and is completely unrelated to work with the Town of Buchanan Special Events Committee, Town of Buchanan or Botetourt County. Signature of owner denotes agreement to these terms.
Accepted and agreed, SIGNATURE:
DATE: