Vendor

Vendor Online Form and Payment

Please fill out the form below. You may pay by Paypal or Credit Card through the Paypal Checkout Gateway.

VERY IMPORTANT – PLEASE READ UPDATED INFORMATION – Click the link below. (can be downloaded as a PDF and Printed) to be mailed.

2022 Vendor Information & Registration Form (MN ST19 – included)

First & Last Name *

Company Name - optional

Email *

Phone

Street Address

City

State/Province

Zipcode

Names for Vendor Tag(s)You will be issued a Vendor Name Tag for each worker.

Advertising in Show Program: Choose OneBusiness Card Size - $201/4 Page Ad: $351/2 Page Ad: $50Full Page Ad: $75Enclose your add exactly as you want it printed.

Upload Advertising Information - Logo - Ads, etc.

Choose FileNo file chosenDelete uploaded file

Number of Display CasesIf you are interested in displaying a collection, please indicate the number of free cases you would like.

Indoor Space: Each Table $75One Table - $75Two Tables - $150Three Tables - $225Four Tables - $300

Number of Chairs

ElecticityYesNo

Outdoor Space - 15' Frontage $40 WeekendOne Space - $40Two Spaces - $80Three Spaces - $120Four Spaces - $160

Corner Space RequestYesNo

On-Site CampingTent Camping - One Night - $15Tent Camping - Two Nights - $30Tent Camping - Three Nights - $45RV Camping - One Night - $27RV Camping - Two Nights - $54RV Camping - Three Nights - $81Dump Station, Electricity, Bathrooms on Site

Total Amount Payable

Credit / Debit Card *

Submit

 

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After payment, remember to download the ST-19 Tax Form, attach form to email, and send to: cuyunarockgemclub@gmail.com. Or mail in information below.