Earth Day 2018 Registration – Non-Food Booth #______________

Name of Booth _______________________________________

Regular Registration Deadline, Saturday, March 31. Late Deadline, 9 p.m., Monday, April 16.

Organization____________________________________ Participating in Enviro. Ed. Contest? Yes No

Website _____________________________ What’s in your booth? ___________________________________

As outlined, the Coalition will make every effort to ensure the safety of all. By signing up for a booth the signer
agrees to hold harmless from any liability the Columbia Earth Day Coalition and its member organizations.

Contact Person Name___________________________ Signature ____________________________

Address______________________________________Zip________ Phone ____________________

E-mail____________________________________

Alternate Contact _______________________________ Phone _______________________

E-mail____________________________________

Non-Food Vendor Options:

_____ For-Profit, Non-Food @$65/ea. X # of Booths _________ = $_________

Have Columbia Business License? Provide #____________________ or add $5 for temporary _________

_____ Independent Artisan @$45/ea. X # of Booths _________ = _________

BL # ___________________ or add $5 for temp. business license _________

_____ Non-Profit, Non-Food Taking $s @$35/ea. X # of Booths _______ = _________

Meet N-P criteria bottom of page 2? ___Yes ___No? If “No” add $5 for temporary license _________

_____ Non-Profit, Non-Food Not Taking $s @$20/ea. X # of Booths ______ = _________

Additional Options:

Add an Earth Flag(s) @ $7.50 X # of Flags _________ = $_________

Late fee if registration arrives after March 31 @ $20 (or $50) X # of Booths ________ = _________

Paying with credit or debit? ____Yes____No? If “Yes” please add $3 fee _________

Total Enclosed $

Please mail/bring checks to: Columbia Earth Day Coalition c/o Peace Nook, 804-C E. Broadway, Columbia, MO 65201
Payment accepted: check/money order (preferred) or cash (in person only). Credit/debit accepted with a $3 fee.