Online Registration with Credit Card *If paying for a week at a time, your payment needs to be made a week in advance. **Click here to register with Paypal or Venmo instead. Name*Phone*Email* *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.Total $ 0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name 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* CommentsThis field is for validation purposes and should be left unchanged.