VENDOR APPLICATION

Vendor Application Page: 20th Anniversary Smoke Out (2019)

 (Return this page only)

 

We, the undersigned, do hereby submit our application for one (1) display space as an exhibitor at the Smoke Out June 14-15, 2019 Rockingham, NC; subject to conditions and regulations governing the event and its production.

 

Company: ______________________________________________________________________

 

Booth Size: _________ List Items to be Sold or Exhibited: ________________________________

 

_______________________________________________________________________________

 

 

E-mail: _________________________________ Contact Name: ___________________________

 

Telephone: __________________________________Cell Phone: __________________________

 

Address: ________________________________________________________________________

 

City, State, Zip: ___________________________________________________________________

 

By signing below I acknowledge, agree and accept that I am strictly forbidden to sell or give away anything that refers to the Smoke Out.  I understand vendor space comes with no wristbands and vendors must purchase wristbands to enter the event area. 

 

 

Signed: ____________________________________________Date: ______________________

Must be signed to validate agreement.

 

 

Signed: ____________________________________________Date: ______________________

                     Greg “Edge” Scheuer, FBI

PH # (803) 210-7272

 

Make Check Payable to: “Flat Black, Inc. 

 

Send To:  Flat Black, Inc

116 Harborside Circle

Columbia, SC  29229

 

Note: The signed returned copy of this form is your proof of registration.  Thank you.

 

Office Use Only:

 

Total Fee _______  Deposit Paid _______ Chk # _______  Balance Due _______

Smoke Out 20

June 14-15, 2019

Noon to 11 pm Friday the 14th
10 am to 11 pm Saturday the 15th

SO14

Makin' Good Ol' Days

Click here to

Read the latest memories

Click here to

Tell us your favorite one

Smoke Out Music Acts From Past Years

Social Share Counters
Visit Us On InstagramVisit Us On FacebookVisit Us On YoutubeCheck Our FeedVisit Us On Pinterest