Potter County Festivals
  CONTACT INFORMATION
  Name: *
  Group / Business *
  Address: *
  City: *
  ST: * ZIP: *
  Phone: * Fax:
  Email:
  Website:
     
  Vendor Type:
         
  LOT INFORMATION:
  Lot Space:
If registered before October 15th - price is $45 per 10 x 10
     
  Lot Set-up Description
(Required)
         
  HOOK UPs: Fees - $5.00 each
  Water:
Electrtic
     
         
  PAYMENT:
 

Checks payable to: Coudersport Area Chamber of Commerce

Mail to or drop off:

Potter-Tioga Mazple Festival
C/O Suzan Paisley
Representative Martin Causer
107 S. Main St., Room 1
Coudersport, PA 16915

Lot will not be fully registered until payment is made!
     
     
 
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