Please type or print clearly * Form must be filled out completely * Please Circle Dates Interested above!

Business Name ______

Contact Name ______

Address ______

Daytime Phone ______Evening Phone ______

E-Mail Address ______

Please list a brief description of what you will be displaying ______

Website: ______

Payment Information: The fee for this event is $50. Tables are limited(fcfs) and chair provided. We also ask that you bring 1 item for a raffle valued between $15-$25. Check or Money Order payable to: Felicia Ratajczyk. I also accept pay pal: (Friends or Family= no fee) Checks must be received 3 weeks prior to the event. There will be NO REFUNDS given unless the event is canceled by Sparkle Events . It is first come first serve.

Each vendor will be responsible for their own table at all times. Del Webb-Mundelein nor Sparkle Events will be responsible for any loss or damaged items. Please no kids under the age of 12.

Print Name ______

Signature ______Date ______

Mail completed form and payment to: Felicia Ratajczyk , 17193 W. Cunningham Ct. Libertyville, IL 60048 or pay via pay pal and email app: (Friends or Family so no fees are applied)

Questions/further Info: Contact: Felicia Ratajczyk : or 847-899-9360

Office Use: Check # ______$ Amount ______