12th Annual          
Union Junction Jamboree
September 23, 2017
Fun Zone Application

Special Early Bird application only $15.00 if received by August 21, 2017
Application Deadline:  September 11,  2017
Business Name_____________________________   ___________________________________
Contact Person_________________________________________________________________
Mailing Address____________________________  ___________________________________
Phone #___________           ___     ___   Email_______________________________________
Activity Description- Provide specific details about your activity.  ______________________ ____________________________________________________________________________________________________
Provide pictures if possible____________________________
Is there a charge for your activity?                q Yes                q   No  
If Yes  How Much ________________________________________________               
How much space is needed for your activity? _____________________________________________
  Standard spaces are 12X12 feet.  If your activity requires more space please call before sending in application to discuss space needs and pricing.
I plan to set my booth up                                      q Friday night after 6:00 PM           
q  Saturday morning by 9:30AM

Payment Information
____Early Birds Space @ $15. (Postmarked by Aug. 21, 2017 = ______
 ___Spaces @ $35.00    (Received by Sep 11, 2017   =    ________
___Spaces @ $50.00 (Received after Sep. 11, 2017) =    _________
  ____  Electricity @ $10.00  =                       ___________________ 
What voltage and amps do you need?_______________________
Total Fee enclosed                                   $______________________

  Please make check payable to City of Union Point w/Union Junction Jamboree on for line 
  Mailing Address     Union Junction Jamboree    P.O. Box 233, Union Point, GA   30669

Vender Agreement
I do hereby release and forever discharge the 2017 Union Junction Jamboree Steering Committee and the City of Union Point, its agents, servants, successors and assigns and all other persons, firms and corporations, from any and all actions, causes of actions, claims, demand, damages, costs, loss of service, expenses and compensations, which I may acquire or may accrue, arising out of any events taking place  September 23, 2017 or other wise connected with the 2017 Union Junction Jamboree
I have read all the Union Junction Jamboree rules and agree to abide by them.

Signature_________________________________________   Date_________________________