Hope Lodge

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APPLICATION FOR 2016 WHITEMARSH ENCAMPMENT SUTLER

By submitting this agreement, I agree to the $30 Event Fee, payable to the Friends of Hope Lodge. Payment due no later than November 5, 2016.

Name of Business
Owner
Mailing address
Phone
Fax
Email
Participation, November 5 and 6, 2016 Sat. & Sun. Saturday only Sunday only
Participants (approx.)
Type of goods sold
Tent size (height, width, depth, measured stake to stake
Frontage
I am willing to provide a talk, demonstration, or presentation
I am willing to repeat the talk, demonstration, or presentation
Special requirements or needs
Liability insurance with a combined single limit of $1,000,000 for bodily injury and property damage is required for your participation in the 2016 Whitemarsh Encampment Re-enactment. Please mail your certificate to the address below.
Insurance company
Certificate number
I accept the Rules and Regulations

Whitemarsh Encampment 2016
Hope Lodge Historic Site
553 South Bethlehem Pike
Fort Washington, PA 19034

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