Registration

Community Garage Sale September 14, 2019 Booth Space (16 X 16): Free until September 11th - After September 11th $15.00 Larger Space Available

Event:

Start Date/Time:

End Date/Time:

Fee per Family:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:*	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info

Questions/Options:


Booth Contact Person:
The booth area is 16 x 16' outdoor. Is this sufficient for the booth space you need?
How did you hear about the Community Yard Sale?

Additional Information:

Other Questions/Comments:

Credit Card Verification:

Card Number:

Name as it appears on card:

Nickname:

Card Expiration Month:

Exp Year:

Address Line 1:

Address Line 2:

City:

State: Zip: