| 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 |