Third
Annual Bluegrass Festival
August 15th, 16th, and 17th, 2008
Greenville, New York 12083
518-966-4709
gvandyke@stpetershealthcare.org
Please
return to:
Gloria J. VanDyke-Dean
c/o Freehold Aviation Association
548 Irving Road
Greenville, NY 12083
Crafter/Vendor Name:
____________________________________________________
Address/Zip Code: ____________________________________________________
Home
Ph. No.: ___________________ Work Ph. No.:
___________________
Email
Address: ____________________________________________________
Type
of Craft(s): ______________________________________________
______________________________________________________________________
______________________________________________________________________
Tax ID
Number (?): If so, please list: ___________________
Electric : _____ Yes _____ No
Camping: _____ Yes _____ No
TOTAL AMOUNT ENCLOSED: _______________
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