SHOPKEEPER APPLICATION FORM
Tell us about yourself. What would you like to bring to the festival?
Name:
Company:
Phone:
Fax:
E-Mail:
Address:
City:
State:
Select State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AA
AE
AP
AS
FM
GU
MH
MP
PR
PW
VI
Zip Code:
Country:
United States
Anguilla
Argentina
Australia
Austria
Belgium
Brazil
Canada
Chile
China
Costa Rica
Cyprus
Czech Republic
Denmark
Dominican Republic
Ecuador
Estonia
Finland
France
Germany
Greece
Hong Kong
Hungary
Iceland
India
Ireland
Israel
Italy
Jamaica
Japan
Latvia
Lithuania
Luxembourg
Malaysia
Malta
Mexico
Netherlands
New Zealand
Norway
Poland
Portugal
Russian Federation
Singapore
Slovakia
Slovenia
South Africa
South Korea
Spain
Sweden
Switzerland
Taiwan
Thailand
Turkey
United Kingdom
Uruguay
Venezuela
Best time to call:
My shop would be about:
Green / Eco
Wellness / Health
Food Service
Shop / Bazaar
Other
Most interested in the size:
10x10
10x20
10x20 cap
20x20 (island)
other
My power needs are:
No Power
Need Power
Personal Power Device
Tell us about your business:
What qualifies you as green or wellness?:
Tell us what your shop would entail. Any special needs?:
