The Big Flea Registration - Berryville Main Street

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Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

(Meats, Requested (brief

Are You a Food Vendor? (Meats, Cheeses, Breads, Plant Based products, Baked Goods, Confectionary)

Items being sold (brief description)

Requested Location (1st Choice)

Requested Location (2nd Choice)

Location Description (Sidewalk Vendor)

Registration Fee

Stripe Credit Card

Signature – Accepting Terms

Clear Signature

I accept the terms and conditions listed in this form.