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

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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

Makin' Good Ol' Days

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Smoke Out 20 Music Acts

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