Coopersburg Community Day Registration Form

20th Annual Coopersburg Community Day 2011
Online Registration Form

Please enter ALL of the following information, then press the SUBMIT button.
Follow the instructions on the completed Participant Agreement.


Email Address:
Individual/Organization:
Contact First/Last Name:
Address:
City/State/Zip/Zip+4:
Phone:
Fax Number:
Activity/Craft/Demonstration Planned:
Number of 10'x10' Spaces Required:
Do You Require Electricity?	YES NO
NOTE: These fields are REQUIRED!

Please indicate below, the type of space required (you may select ONE only).
	CRAFTS - $25.00 for each 10’x10’ space used for display and/or sale of personally created craft items.
	FLEA MARKET - $15.00 for each 10’x10’ space used for display and/or flea market purposes.
COMMUNITY NOT-FOR-PROFIT ORGANIZATIONS
		FUNDRAISING - $15.00 for each 10’x10’ space used for fund-raising purposes.
		NON-FUNDRAISING - FREE ($0) first 10'x10' space for participants who only demonstrate and/or exhibit with no sales or product promotion. $15.00 for each additional space.
FINE ARTS
		$25.00 for each 10’x10’ space used for display and/or sale of personally created art NOT under the fine arts tent.
		$50.00 for each 10’x10’ space used for display and/or sale of personally created art UNDER THE FINE ARTS TENT.
Please note any other needs or considerations here:


		HELP US KEEP OUR COSTS LOW - I would like to be notified by email next year.