The 2015 Old Settlers Day will be hostd by the Pulaski County Museum & Historical Society. Please get your application
and fees in as soon as possible to ensure that you have a location, expecially if you want a specific location. We cannot
promise to place you in the exact location, but we will do everything possible to do so.

Entry #_________________
Date Received __________
Amount Paid ____________ 

35th Old Settlers Day 2015 Entry Application

Print or Type

Entry Name: ________________________________________

Person Sponsoring Entry: ______________________________

Phone Numbers: Day ____________ Evening _____________

E-mail: ________________________________

Complete Mailing Address: ____________________________

_______________________________ Zip _______________

Clearly describe what you will be doing or selling at your booth.

(In fairness to our commercial food vendors, we will not accept applications for free or reduced price food concessions.)

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Please describe type space and approximate size you need:

NO TABLES WILL BE PROVIDED.

Table ______ Tent _____ Trailer ____ other _____

Do you need electricity? ____ Yes ____ No If "Yes" indicate 220V ___ 110V ___

Entry fee: 1. Food vendors - $45.00. 2. All others - $25.00

Electricity Fee - $5:00

If you were with us before and want a specific location, please let us know. We will do our best to accommodate you.

Deadline for entries is July 10, 2015. All applications will be reviewed for final approval. NO REFUNDS unless application is not accepted. Application and appropriate fee should be sent to:

Old Settlers Day
c/o Denise Seevers
P.O. Box 144
Waynesville, MO 65583

Make check payable to: Old Settlers Day. The undersigned agrees to pay necessary fees and follow all Old Settlers Day guidelines.

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Signature