Fort Polk Spouses Club 2012 Super Sign-Up

Fort Polk Spouses’ Club 2012 Super Sign-Up

Booth Application

Point of Contact

Name of Business

Complete Mailing Address

Phone (______)_____________ Email:

Description of business, services, or items for sale:

Are you a non-profit organization? Y/N _______________

Do you need access to a power outlet? Y/N ____________
(We have limited amount of power outlets available and we do not loan extension cords)

Number of 6-foot tables requested (subject to committee approval) ___________

$25 per table for businesses
$10 per table for non-profit organizations

Amount enclosed (make check or money order payable to Fort Polk Spouses’ Club)

All applications must be received by August 6, 2012. Tables will be reserved on a first-come-first-served basis. We will not accept duplicate vendors.

Please return this form and booth payment to

Fort Polk Spouses’ Club
Attn: Super Sign-Up
PO Box 3911
Fort Polk, LA 71459

If you have any questions or special requests please contact Lisa Koykar, Activities Chairperson at 630-908-9556, OR Sarah Jennings, President at 254-833-4944,