 |
Red River Fine Art &
Wine Festival
June 19th & 20th, 2010
Vineyard Application
June 1, 2010 Deadline |
| Vineyard Name:
_____________________________________________________________________________ |
| Contact
Name:______________________________________________________________________________ |
|
Address:___________________________________City______________State_________Zip_______________ |
| Phone:Home:________________ Work:______________
Email:____________________ |
| NM Tax ID
#_________________________________________________Last 4 Digits SSN/Fed.
ID #_________ |
| Have you participated in the Fine Art & Wine
Festival before? ____Yes ____No
What year(s)?__________ |
| ____10x10 Booth *$150 |
___10x20 Booth *$250.00 |
| ____Electricity $10/booth |
___$10 Late Fee after June 1st, 2010 |
| ____ Yes, I would like to have a
selection of my wine showcased at the Wine Reception/
Progressive Dinner |
| |
|
| Amount enclosed $_________ |
Chamber member _____Yes ____No |
| Credit
Card/(Visa/MC)_________________________________________________
Exp. Date_______ |
| |
3 digit CVN number on back of card________
|
|
Signature______________________________________________________________
Date __________________ |
| |
|
|
|
Please make checks payable to :
Red River Chamber of Commerce
PO Box 870
Red River, NM 87558 |
|
|
Rcv'd ________________
Paid By
CK CC Cash
#___________________
Amount $_____________ |
| |
|
| |
Applications will NOT be processed without the
following: |
| *Registration Fee includes Wine Reception and Heavy Hors
d'oeuvres for two at Mountain Treasures Gallery Bistro &
Coffee Bar Friday, June 18th, 2010 and a commemorative wine glass.
|
_____Completed application
_____Payment in full
_____$50.00 deposit
_____NM Tax ID#
_____Completed NM Alcohol & Gaming permit with check made out to
NM Alcohol & Gaming
|
|
For questions please contact the Red River Chamber of
Commerce at 800-348-6444 x 1. |