| Fall Foliage Festival Committee | PO Box 234 | Bedford, PA 15522 |
| If you have applied for the festival before, please check box to indicate an address change. |
| Oct 2nd and 3rd | Oct 9th and 10th |
| Name________________________________ | Organization/Company__________________________ |
| Street_Address_______________________ | City_________________________ |
| State___________________ | ZIP Code_____________________ |
| Day phone_________________________ | Evening phone_______________________ |
Length_of_Trailer in feet (Including Towing Assembly) _____________ ******
PA Sales Tax Number _____________ (*MUST HAVE)
NEED WATER? ... Y ...
N
NEED ELECTRIC?... Y ...
N ......... # of OUTLETS? ___...
110V
220V
None
Brief Description of Menu and comments:
...
*** Reminder .... there is a $20 charge per two day weekend if you need electricity.
General Release and Acceptance of Rules and Regulations: The applicant(s) have read the rules and regulations and agree to abide by said rules. In addition, the applicant(s), do expressly release the Fall Foliage Festival and the Borough of Bedford, PA and their assigns from all liability for injury, damage or loss to persons or property. If accepted,
we understand the enclosed entry fee shall not be refunded in the event that I/we do not attend or if all or part of the show is cancelled due to fire, calamity or any other act of God, public enemy, strikes,
statutes or ordinances or any legal authority or any cause beyond the control of the Fall Foliage Festival Committee. I/We hereby agree to the enforcement of all rules and regulations of the show as set forth in this application.
SIGNATURE ______________________________________ DATE ____________________
*** OFFICE USE ONLY: Date Received ______________ Amt. Paid ___________ Check # __________