Heritage Park of North Iowa
2006 Vendor Registration Form

Name: _________________________________ Phone No.: ____________ Email Add: ____________________

Mailing Address: ______________________________ City:__________________ State: _________Zip: ________

Sales Tax No: _________________________________

I am a member of the Winnebago Historical Society: ¨Yes ¨No

If you are not a member, there is a $10.00 fee per space per event. Alternatively, become a member of the Winnebago Historical Society per the following:

  • Family Membership. Enclosed is my $25
  • Lifetime Membership. Enclosed is my $200
  • Foundation Member. Enclosed is my $1,000

The above fees include one space at all Heritage Park events, but you must still register and fill out the table below to reserve space.

Inside Spaces are approximately 10' X 15'

Outside Spaces are approximately 15' X 30'

Electricity is available for inside spaces only. Cost is $5.00 extra per space per show.

Indicate the type of items you will be selling:

 

 

 

 

 

 

(Over)

Please indicate which events you will be vending by completing the following table. Complete this table even if you are a member of the Winnebago Historical Society. Although members at the Family level or higher, space is not reserved unless you complete this table and provide it to the contact person below. In addition, you must pay for additional spaces and for electricity. Your fee will be returned for events there is no space available. Space reservation is on first come, first serve basis.

2006 Events

# Inside Spaces

($10/Space)

Electricity

($5/Inside Space)

# Outside Spaces

($10/Space)

Total Cost for Event

Heritage Festival (July 15-16)

.

.

.

$

Steam Threshing Days
 and Swap Meet (Sept 15-17)

.

.

.

$

Total Enclosed

$

I have read the vendor guidelines and agree to follow them as well as all park rules.

Signature:_______________________________________ Date:_____________

Send this completed form and any fees due (Make checks payable to Heritage Park of North Iowa) to:

David Hill
145 W
N
Forest
City, IA 50436
(641) 585-2545
ruddson@wctatel.net