Online Registration with Paypal or Venmo *If paying for a week at a time, your payment needs to be made a week in advance. **Click here if you’d rather pay with a credit card. Name*Phone*Email* Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code *Booth Size*10x10 (single booth) - $50/weekPlease choose the size of booth you want.Number of Weeks*1 Week2 Weeks3 Weeks4 WeeksPlease choose the number of weeks you want to reserve your boothDates*Which dates do you want to participate? Saturday, July 4th Saturday, July 11th Saturday, July 18th Saturday, July 25th Special RequestsPlease list any special requests you may have such as needing electricity, booth location, or if you would like to be by a specific vendor. All requests are contingent to availability.Please indicate how you would like to pay your booth fee:PaypalVenmoTotal $ 0.00 To pay through Paypal send payments to firstname.lastname@example.org To pay through Venmo send money to @Haylie-Rowberry or scan the QR Code below Liability Waiver I/We hereby waive, release, absolve, indemnify, and agree to hold harmless Iona Summer Bazaar directors, owners, all members of staff, Haylie Rowberry, the City of Iona, and their employees, for any claims arising out of any injury to myself/all members of my staff that may be sustained by me/their participation in this program. I will not hold the Iona Summer Bazaar or any chairman responsible for any loss incurred by damage or theft of any items during the bazaar held on July 4 – September 5, 2020. I also will be responsible during this event by cleaning up my booth area and leaving the park looking better than I found it. I understand that if my booth area is not clean I will be given a fine.Printed Name and Signature*Date Signed* EmailThis field is for validation purposes and should be left unchanged.