VENDOR FORM

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VENDORS

FOUR STATES FAIRGROUNDS

TEXARKANA, AR

NAME__________________________________________________

COMPANY NAME__________________________________________

ADDRESS________________________________________________

CITY_________________________________STATE______________

ZIP__________________PHONE NO.__________________________

PRODUCTS description_______________________________________

_______________________________________________________

_______________________________________________________

FEES $50 per day

THURSDAY______FRIDAY_______SATURDAY_______SUNDAY______

RV Hook-up $40 per night

Thur._______________Fri. _____________ Sat._______________

TOTAL Vendor fee x $50/day _______________

RV fee x $40/night _______________

Total ______________

Mail to Patti Moore c/o Runnin WJ Benefit Barrel Race

1619 fm 1397 Contact; Patti Moore 903-244-2306

Texarkana, TX 75503 or pattimoore0419@gmail.com