community booth space Step 1 of 3 - Applicant Info 33% Non-Profit Only Please include current year non-profit verification with application Telephone: 336-727-2236 Fax Number: 336-727-2922 E-Mail: firstname.lastname@example.org DATES FOR 2019: OCTOBER 4 - OCTOBER 13, 2019 Non-Profit NameName of Applicant First Last Applicant TitleAddress Street Address City State/ProvinceAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneFAXEmail Enter Email Confirm Email Pricing: $500 for Single Side Service Booth or 12% of gross receipts, whichever is greater. $750 for Double Side Service Booth or 12% of gross receipts, whichever is greater. $100 for utilities (Water and Electricity) Natural Gas will be billed based on individual meter reading $115 for insurance coverage (Note: The Fair encourages organizations to provide Their own general liability coverage if possible. $100 Golf Cart / Atv Permit Fees (each) Golf Cart must be listed on insurance policy. All prices are subject to change.Non-Profit Verification Documents Drop files here or Accepted file types: jpg, jpeg, png, pdf. Additional Comments SignatureDesktop: Use mouse holing left-click button. Mobile: Use Finger ot Stylus.Type Name used in Signature First Last This iframe contains the logic required to handle Ajax powered Gravity Forms.