Registration Form

Community Fair

Business Name Please enter a business name

First Name Please enter a first name

Last Name Please enter a last name

Street Address Please enter a street address

City Please enter a city

State Please enter a state

Zip Code Please enter a ZIP code

Email Please enter an email

Phone Please enter an phone number

Payment Method

Online credit card (Visa/MasterCard)
Mail-in check

Please select a payment option

Total:
$50.00

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