AUGUST 6 – 10, 2013

BUSINESS NAME: ______________________________________

CONTACT NAME: ______________________________________

ADDRESS: ___________________________________________

___________________________________________

PHONE NUMBER: (________) ______________________________

E-Mail ________________________________________________

BE A PARTNER

Platinum ____$5,000 Diamond ____ $3,500 Gold ____$2,000

Silver____$1,000 Bronze____$500 Patron____$250 Amount due: _______

BE A SPONSOR

Amount:______ Class: ______ Other: ______ Amount due: ______

RESERVE YOUR EXHIBIT SPACE!!

10’x10’ Inside $195/week _____

40’x40’ Outside $195/week_____

Amount due: ________

Let us know your payment Method, Check enclosed: ________ or Bill Later: ___________

Authorized Signature: _____________________________Date:________Total Due: ______

Fair member signature: ______________________________________

We look forward to working with you and thank you in advance for your support of the Augusta County Fair.