2013 Gathering Of Gardeners Application
Please complete and return with your payment to:  KNND - 321 Main Street, Cottage Grove OR 97424

Business Name:__________________________________ 

Contact:________________________________________

Address:___________________________

City:________________________

State:_________

Zip:_____________

Phone:_______________________

Cell:_____________________

E-Mail:_________________________________

Products or Services:_______________________________

Special Needs:_________________________________

Booth Size:______________

Electricity: Yes______  No______

Amount of Payment Enclosed:_______________

I have read and understand the rules for the Gathering Of Gardeners and am willing to comply.

Signature:____________________________________________________  Date:_____________

Name Printed:______________________________________________________