Registration Form

Woodland Lions Club
Woodland Planter's Day Saturday Market
June 20th and 21st

Please fill out this registration form and mail back with a check or money order to:
Woodland Lions Club
P.O. BOX 1104
Woodland, WA 98674

Name:________________________________

Type of Business: ____________________________

Name of Business: ________________________

TYPE OF PRODUCT: ______________________

Address: _________________________

City:___________________STATE: ______Zip._________

Mailing Address (if different from above): __________________________________________

City:_______________________ State: _____________ Zip:_____________

E-mail Address ___________________________________________

Home Phone __________________

Business Phone: _________________

Electricity: Yes: ____ No:____ Number of spaces:_____

Trailer: _____ Tent: _______

Amount Enclosed: $__________________

Date submitted: __________________

Contact person:
Mary Wills, Woodland Lions Club
P.O. BOX 1104
Woodland, WA 98674
(360) 225-8738
E-mail spirituprising2@aol.com

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