Please reserve _________ space(s) in Commercial Building #6 for:

Company/Organization Name: _____________________________________________________

Contact Person: ________________________________________________________________

Mailing Address: _______________________________________________________________

                 _______________________________________________________________

Telephone: ___________________________   Cell Phone: __________________________

E-Mail Address: ________________________________________________________________

PA State Tax ID Number: ____________________________Required

          Number of 10x12 ft. Spaces _______ X $175.00 =  $_________________
          Number of tables ______ @ $10.00 Per Table   =  $_________________

                 Total Due by July 15:                    $_________________

After July 15 all fees must be paid by cash or cashier's check, no personal

checks will be accepted.

Your free admission tickets will be available in the office when you arrive to setup.

Return form to: Don Roth

	        503 Excelsior Road

	        Biglerville, PA 17307

Please make checks payable to: South Mountain Fair Association
Questions:  Please contact Don Roth at 717-357-4306 or dlrothbville@hotmail.com