Form

December 14-16, 2012
Registration Form
By registering you will be listed as a participating business/studio in the Holiday Hop event materials. If you plan on offering your products or artwork at a business or studio other than your own, you do not need to fill out this form. Please have that business or studio list you as a participating vendor. You will be listed as a vendor under their site heading.
Name of Site*
Description of Business or Studio, 20 words or less

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Your Name*
First Name Last Name

Site Address*

E-mail*
Phone Number*
- Area Code Phone Number
Website
Please list any additional vendors participating at your business or studio, followed by their medium. If there are no additional vendors, write in your name and medium only.*
Please list your special event here, including date, time, and location. Please limit your event listing to 30 words or less.

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Please submit an image of your work here for promotional purposes
Please submit an image of your work here for promotional purposes
Please submit an image of your work here for promotional purposes
Please submit all data for your site on one form no later than November 16th.

Fill out all entries exactly as you would wish it to appear in print.
Payment by paypal, credit, or debit card. To pay by check, click number of vendors and press submit, send payment before November 16th to SEABA at 404 Pine Street, Burlington, VT 05401*
1- 3 vendors $75.00 USD
4 or more vendors $100.00 USD

Total: $0.00 USD
Should be Empty:

December 14-16, 2012