Annual Kansas Summer Festival
                                                 July 10, 11, and 12, 2009
                                              Food Vendor Reservation Form


   Name  _______________________________________Phone(___)________________

   Address _______________________________________________________________

   City  _____________________State_____________Zip Code_____________________
   
   Items to be sold: _________________________________________________________

   ______________________________________________________________________

   Rates:                        12x15 space        $50.00
                                     12x20 space        $60.00
                                     12x30 space        $90.00
                                     110volt/30amp     $40.00
                                     220volt/50amp     $70.00

   Water is available at no charge.  Must provide own hose and electrical extension.

   Area of space needed____________ __Width_____________Length______________

   Electricity        Yes                   No                   110              220                ________Amp

   Arrival date/time  _______________________________________________________

   Departure date/time  ____________________________________________________


   Please provide proof of insurance and, if selling food products, health inspection certificate when
   remitting payment.  Payment must be received by July 1, 2009 to guarantee space.  Set up can
   be anytime after 12:00 p.m. on Friday and remain until 6:00 p.m. Sunday evening.

   Make checks payable to Kansas Summer Festival and return to:  Kansas Summer Festival
                                                                                                         P.O. Box 75
                                                                                                         Kansas, IL 61933
                                                                            
                                                                                         Phone:   (217)948-5727

   Comments:  ____________________________________________________________

   ______________________________________________________________________

   ______________________________________________________________________

   ______________________________________________________________________