Registration Form for Saturday April 3, 2004

____________________________________________   ________________________
 Name                                                                                      Daytime Phone Number

_____________________________________________   ________________________
Trade Name/Organization                                                         Evening Phone Number

_______________________________________________________________________
Address                                                                   City                  State              Zip code

____________________________________________
E-Mail Address            

Please Check the Correct Box:

Registration Type: Make all checks payable to the St. Andrews Society of Richmond

Band Sponsor   $___________   (  )                Clan/Organization: $10 donation    (  )

Award Sponsor $100 donation    (  )                 Educational Display                      (  )             

Patron: $50 donation                    (  )                Craft Demonstration                      (  ) 

Vendor : $25 donation                  (  )                Living History                                (  )

Description of display/merchandise: __________________________________________

______________________________________________________________________

Types of tents/tarps:______________________________________________________

Activities/Demonstrations: _________________________________________________

Special Needs:__________________________________________________________

Please Return the Completed Form To:

St Andrew's Society of Richmond VA
Chesterfield Celtic Heritage Festival
P. O. Box 3972
Glen Allen VA 23058