28th Annual
Chautauqua in the Park
Application Form

September 8 & 9, 2012

Deadlines:
After May 1, booths will be assigned on a first come, first serve basis. Higher booth fees will be charged after July 31. No refunds after July 15.

See our Main Chautauqua page for details.

  • To reserve last year's booth space, application must be received by May 1.
  • BOOTH PRICING:
    Fine Art/Craft Booths - 10'x10' - $75
    Fine Art/Craft Booths - 10'x20' - $150
    Farmer's Market Booth - 10'x10' - $55
    Not-For-Profit Single Food Booth - $95
    For-Profit Single Food Booth - $190
    Multi-Item Food Booth - $180
  • Booth applications postmarked after July 31, add $25 per booth.
  • Pay by credit card via fax or over the phone

 

Complete & print the application below (File / Print). It will print as three pages.
Sign the application and mail it with your payment and picture(s)
to the address at the bottom of the form.

NOTE: You may submit this form online and email photos to the Chamber.

You may also download the pdf file (341KB file),
print it, complete it, and mail to us via U.S. Mail.

Return to Chautauqua Information


IMPORTANT!
If you are a Fine Art/Craft Vendor, you must also complete
and send us the completed Vendor Information form
in one of these formats in addition to the application:
Vendor Info as Word File | Vendor Info as PDF File

First Name:

Last Name:

Business Name:

Mailing Address:

City / State / Zip://

Phone: Fax:

E-mail Address:

Booth Type:
Fine Arts/Craft**
Farmers' Market Single Food Food Court

**IMPORTANT!**
If you are a Fine Art/Craft Vendor, you must also complete
and send us the completed Vendor Information form
in one of these formats in addition to this application:
Vendor Info as Word File | Vendor Info as PDF File

No. of Booth Spaces required:    2 3

Electricity:  Yes   No

110 V - $15 per hookup 220 V - $25 per hookup

What will you be selling?

Fine Art/Craft Vendors: Complete additional form - Word File or PDF File.

2010 Chautauqua vendors will be assigned same booth space for 2011 if application and payment are received by May 1.

Order a Chautauqua T-Shirt, $15 each
Size: M L XL 2XL 3XL
Order with application or by August 4th. Will receive at check-in.

Unloading and Loading Assistance: Unloading and loading assistance before and after the festival is available. You must prearrange and prepay for this help. The charge is $20 for 30 minutes. Please indicate if you will need help:

Help Unloading Friday p.m.  Help Unloading Saturday a.m.
Help Loading Sunday p.m.

PAYMENT: Booth Amount
After July 31, add $25 per booth.

+

Electricity

Unloading Assistance
$20 for 30 minutes 

Loading Assistance
$20 for 30 minutes 
Chautauqua T-Shirt
$15 each
Total Amount Enclosed

We also accept credit card payments with MasterCard or VISA. If you want to charge your registration to your credit card, you must call us with your payment information after you submit this online form!

Please return this form (signed below) (or the print version of this form), photos of your work, the additional form if you are a Fine Arts/Craft Vendor, and your payment. If submitting application online, please email photos to the Chamber. Checks should be made payable to the Chillicothe Area Chamber of Commerce.

Chillicothe Area Chamber of Commerce
P.O. Box 407, Chillicothe, Missouri 64601

In consideration of being permitted to participate as an exhibitor at the 2010 Chautauqua, the undersigned exhibitor releases the Chillicothe Area Chamber of Commerce and the Chillicothe Area Arts Council, and their officers, directors, employees, agents, and members (the "Released Parties") from liability for damages or loss of any kind to any property of the vendor, during the setup, take down, or during the period beginning at 2 p.m. Friday, September 9th through Sunday, September 11, 2011, at Simpson Park for Chautauqua in the Park, caused by whatever reason, including the negligence of the Released Parties.

Signature: Date: 
Note: Your typewritten name on this online form is considered a legal and binding signature.


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