Blast in the Park Vendor Registration

Vendor Name

Contact Person

Address

City

State

Zip Code

Email Address

Cell Phone

Vendor Description

Notes and Comments

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PAYMENT INFORMATION

Vendors registration is $25 and the funds go to the Chamber of Commerce to help fund future events. Registration can be paid by cashor check to the La Cygne Chamber of Commerce, PO BOX 429, La Cygne, KS 66040. Questions? Please call 913.755.1251 or email lacygne.chamber1@gmail.com.

I certify the above information is accurate and true, and I have read the vendor requirements for the booth(s) I am reserving.