Kane County Events and Volunteer Center
Vendor Application Kanab 4th of July Park Fair
Located at Jacob Hamblin Park
10:00 am - 6:00 pm

Vendor Information
First Name: Last Name:
City: State/Province: ZIP/Postal Code:
Phone: Email:
Business Name
Business License # or SS#
Booth Information
Describe Items to Sell

Booths are 10X10. You need to bring tables, shade canopy and extension cords as needed.
Set up is July 4th 8:00 am - 10:00 am. Vendors are expected to submit a State Sales Tax report.

Food:   $60.00   Quantity:   Item Subtotal:  
Crafts:   $50.00   Quantity:   Item Subtotal:  
Additional Booth Spaces:   $20.00   Quantity:   Item Subtotal:  
Other Requirements or Requests
(Booth spaces including power will be considered on a first come first served basis.)

Payment Information
Method of Payment:
Processing Fees: Credit cards: 2.9% plus $0.30
eChecks: $0.75
Update name from Vendor Information
Name of Individual
on Checking Account:
Name of Individual
on Savings Account:
Name of Business
on Checking Account:
Bank Routing Number:
Bank Account Number:
Credit Card Number: (Type number or swipe with cursor in this empty field)
Expiration Date: /
Card ID (CVV2/CID) Number: What is the Card ID?
Cardholder Information (exactly as it appears on your statement)
  Update from Vendor Information
Cardholder's Name:
Billing ZIP/Postal Code:

Event will take place rain or shine and there will be no refunds.
Please be aware that card payments will be described as
CountyUT 800-764-0844 Clinton UT

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