Sample Springfield Registration

Sample Springfield is August 24, 2017

Location: North Patio (outside of Robert W. Plaster Student Union)

If you have any questions please contact LauraWhitmire@missouristate.edu or call 417-836-4386.

Please don't fill out this input box.

Required fields are marked with an asterisk (*).

Business/Organization Contact Information

Business/Organization/Agency Name*

Business Type*

First name*

Middle name

Last name*

Street Address

City

State

Zip code

Day of Event Contact Number*

Business Phone Number*

Email address*

Event Details

Table Location

Number of Tables*2 chairs will be provided with each table.

Electrical Outlets Needed?*

Number of Electrical Outlets Requested AND How many amps are required*Power sources are limited and first preference will be given to food vendors. Please bring extension cords.

Will You Have a Tent?One registration entitles the vendor up to a 10ft by 10ft space for a tent that is free standing (no ground stakes may be used). Anything larger may incur an additional registration fee.

Detailed description of equipment you will bring

Will you be giving out food or beverages?

If yes, what?

Special Needs

Payment Method*Payment instructions will be prompted on the following screen.

All businesses are subject to approval.