Event Registration Event Registration Locust Grove Area Chamber of Commerce Founder's Day Vendor Registration Name/Organization(Required) Email(Required) Phone(Required)Contact Person(Required) Will you need electricity?(Required) Yes No Payment can be made via PayPal @LGOKAreaChamber(Required)Or cash and checks can be dropped off at ROMP (416 E Main St) 12X12 Vendor Spot $30 Church/Non Profit $20 How many spots?(Required) If you are offering food, what food will be offered?(Required)(If food is not offered please answer with N/A) If offering items for purchase, please give a brief description of what items will be offered(Required)(if no items for purchase are offered please answer with N/A) Is there a specific spot that you prefer to set up?(The Chamber can not guarantee the requested spot but will try to accommodate your request) Terms and Conditions(Required) I agree to release and hold harmless the management, Locust Grove Area Chamber of Commerce and the Town of Locust Grove or any of its members or agents, and/or the owners or managers of the grounds or location where this event is held from any loss, damage or injury resulting from participation of this entry in this event. By checking YES on this application I am confirming my understanding of the rules and liabilities. Yes No Total This page is unsecured. Do not enter a real credit card number! Use this field only for testing purposes. Payment Method(Required)PayPal Checkout MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name CAPTCHA