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Name: ______________________________________________ MN Tax ID Number:* _________________________________ Business/Farm Name: ________________________________ Email address: _____________________________________ Address: ___________________________________________ City/State: ________________________________________ Phone: _____________________________________________ Items to be Sold: __________________________________ Web Site Address: __________________________________ Will you be bringing live animals? _________________
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| Limit 2 spaces | ||||
| _____ | Indoor (either building) approximately 10' x 10' | - | $75.00 x ____ = ______ | |
| _____ | Outdoor 10' x 15' |
- | $55.00 x ____ = ______ | (includes electric) |
| _____ | Tables 2' x 8' |
- | $10.00 x ____ = ______ | |
| Total | ______ | |||
Make checks payable to
Shepherd's Harvest
Festival
and send along with this form to:
Loretta Pedersen
2150 220th St.
St. Croix Falls, WI 54024
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Contact Winnie Johnson at 763-441-3452 for further information. |