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Your Name
*
Business Name
Address
*
City
*
State
*
Zip Code
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Day Phone
*
Evening Phone
Cell Phone
Email
*
Website
Are you a Pre-1840'4
*
Civilian
Military
Indian
Crafter
Artisan
Vender
Entertainer
Description
*
(Brief Description)
Can you conduct a Living History Demonstration for the school groups on Friday?
*
Yes
No
Description
(Brief Description)
Will you be camping with a group/club?
*
Yes
No
Group Information
(Name of Group and Approximate number of group/club to attend this event.)
Estimated Arrival Date
*
Estimated Departure Date
*
Additional Comments
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