12th Annual Adams 12/AIPAC Pow-wow & College Fair

February 18, 2023

Stem Launch
9450 Pecos St, Thornton, Co. 80260

To reserve a space, please mail completed form and payment to:

Note: Cash or Check Accepted / Booth Fee is non-refundable.

Checks or Money Order payable to: AIPAC 74 Account

Checks must include the following information: Name, Address and Telephone Number.

Booth Fees: 8 x10 - $40 + Donation to Silent Auction

Pow-wow Hours: Saturday 10:00am to 6:00pm. Set-up will begin at 9:00 am

Description of items selling/Information Distributing:

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Applicant(s) Name: _________________________________________________________________________

Mailing Address: ___________________________________________________________________________
City: __________________________________________________ State: _____________ Zip: ____________

Phone: __________________________________ Email: ___________________________________________

Check #: ________ Amount : ________

Acceptance of Rules:
We the applicant(s) have read the “INDEMINIFICATION AGREEMENT AND RELEASE OF LIABILITY” listed separately &
agree to abide by said conditions.

Signature: _______________________________________________ Date: ______________________

(to be filled out by powwow committee)

Vendor Booth # _______

Date Payment Received_______ Initials _________

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