2023Falling Leaves Outdoor Show
Please fill out and return the registration form with payment of check or money order by Saturday September 16, 2023
Thank you,
Falling Leaves Outdoor Committee
Potter County Habitat for Humanity
Contact Information: c/o Carol Jackson
P.O. Box 208, Coudersport, Pa. 16915
2023 Falling Leaves Outdoor Show
Vendor Application
Potter County Habitat for Humanity
Show Hours: Friday & Saturday, 9 a.m. to 7 p.m.
Name/Business: ________________________________________________________
Address: ________________________________________________________
Phone: ________________________________________________________
E-Mail: _________________________________________________________
Mandatory:
Space will be used for: Description/type of exhibit/food/craft/etc.
_____________________________________________________________________________
Electric and/or Water Fee: ________________ ($5 each)
Electric: Yes______ No_______ (Vendor is responsible for having cord long enough)
110v _____ or 220v_______ No Electric Need ________________
(Limited 220v available! If we run out of 220v, we will contact you immediately.)
Food Vendors: spaces limited – first come, first serve basis.
Number of spaces needed:_________10x10 at $50 each (With your own tent)
Reservations made after September 11, 2022 will be charged $55.00
TOTAL DUE________________$
Please reply by September 16. 2023
Checks payable to: Potter County Habitat for Humanity
c/o Carol Jackson
P.O. Box 208
Coudersport, Pa 16915
814-274-0219