Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastBusiness Name Or DBASellers Permit Number *Enter Zero if not applicable Last Four of Social Security Number *FEIN Number *Enter Zero if not applicableExemption Code1 – Exempt Sales Only or Display Only2 – Multi-Level Marketing (Company Pays Sales Tax)3 – Non-Profit Occasional Sales Exemption4 – Exempt Occasional SalesIf your sales are exempt select the appropriate numberWebsiteEmail *Phone *Number of BoothsDescribe your merchandise, and booth location preference:AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeArts/Crafts BoothPrice: $45.00012345678910Flea MarketPrice: $45.00012345678910Food Vendor *Price: $85.00012345678910Total Order Summary Item Quantity Total There are no products selected. Arts/Crafts Booth0$0.00Flea Market0$0.00Food Vendor0$0.00Total$0.00 $0.00By signing below, you release the Winter Area Chamber of Commerce and Village of Winter from any and all liability for loss, damage or injury. *I agreeSubmit
