Return this form with a self-addressed_ stamped envelope and a by hcj


									                                       VENDOR APPLICATION
                                           RUMBA 2010

 For Event Use:    Date received ____________Amount Received_________Accepted_____Confirmation_______Space________

          Return this form with a self-addressed, stamped envelope and a check or money order made payable to:
                              Robeson Road Runners, PO Box 1388, Lumberton, NC 28359
              *If you have any questions, contact Connie Russ, (910) 671-3876 or

                                           Applications due by January 31, 2010

Your Name __________________________________________Business Name _________________________________

Street _______________________________________________City/State/Zip __________________________________

Phone ___________________________Fax ________________Email ________________________________________

Arts and Crafts Booth Space        ________ x $ 25 = ________________ (10 x 10)

Food Vendor Booth Space            ________ x $ 50 = ________________ (20 x 20)

                         Total Fees              $        ________________

Does your set-up include a canopy?          ________yes _______no

List full dimensions of booth __________________________________________________________________________

Full description of Art/Craft or food to be offered for sale: __________________________________________________


The Lumberton Recreation Department, The City of Lumberton, any businesses involved, or any governmental agency will not be
responsible for an accident or loss, before, during or after the event period. Vendors agree to these conditions and guidelines by
signing below.

Signature _________________________________________________ Date___________________________

        If you have been a past participant in the Rumba, there is no need to send
                       photographs of items you will offer for sale.

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