MISSISSIPPI VALLEY FAIR

COMMERCIAL SPACE APPLICATION FORM

AUGUST 2-7, 2005

Please print clearly in ink as you carefully fill out this application form. We regret that incomplete or illegible application forms will not be considered. Please Mail this form back to:

Mississippi Valley Fair, Attention: Vicky

2815 West Locust Street

Davenport, Iowa 52804

NAME:________________________________________________________________

NAME OF OWNER:_____________________________________________________

(Whose name should appear on your contract if approved for space?)

NAME OF MANAGER:___________________________________________________

(Who will run your operation at the fair?)

PERMANENT MAILING ADDRESS:_____________________________________________

CITY/STATE/ZIP:________________________________________________________________________________

BUSINESS PHONE: (_______) _________________________ HOME PHONE: (_______) ___________________

TYPE and SIZE of SPACE DESIRED:

INSIDE: Number of frontage feet requested:________________________. (All inside space is 10' deep.)

OUTSIDE: Number of frontage feet requested: ______________ X ____________. (Number of feet depth - must include all tie-ons, overhangs trailer hitches, etc., as you will be allocated only space requested.) Please include a picture of your trailer or set up.

ITEMS SOLD/SERVICES OFFERED:

List ALL items to be sold, exhibited, and / or demonstrated. Gifts, novelties and craft items must be SPECIFICALLY and INDIVIDUALLY listed-

_____________________________________________________________________________

REFERENCES FROM TWO FAIRS OR TRADE SHOWS PLAYED IN THE PAST YEAR. GIVE COMPLETE ADDRESS, PHONE NUMBER, AND CONTACT PERSON'S NAME:

______________________________________________________________________________

THIS IS ONLY AN APPLICATION FOR SPACE AND IS NOT A SPACE RENTAL CONTRACT.