Holiday Marketplace

Date of Show: Sat. November 16th, 2019 (Indoor Show) * 10:00AM - 4:00PM
Setup Time : 6:30AM - 9:30AM
Place: South Wall Firehouse * 2605 Atlantic Ave, Manasquan, NJ

Date Of Application: ______________________________________________________
Applicant Name: _________________________________________________________
Business Address: ________________________________________________________
Business / Home Phone: ____________________________________________________
NJ Sales Tax No.: ________________________________________________________
Email: __________________________________________________________________
License Plate #: __________________________________________________________

(Deadline for applications: When Full)
(Please enclose a self-addressed, stamped envelope)
(No envelope: canceled check is receipt and acceptance in show)
Consider my application for:
_______ 9 x 7 spot(s) @ $75.00
Make checks payable to: PAM PATULLO
Directors reserve the right to accept or deny applications.

Return completed applications to:

Pam Patullo
Po Box 671
Manasquan, NJ 08736

The undersigned agrees to abide by all regulations set forth by the Promoter, Wall Township Fire Dept and/or South Wall Banquet Hall.
Their workers shall not be held liable for property damage or personal injury to exhibitors, its agents or employees regardless of how such injury or damage
may have occurred. We reserve the right to accept or reject any exhibitor and shall have the right to make rules and regulations for the show that it deems
proper and necessary.

Signature: ________________________________________________________________