Heritage and Antique Machinery Festival

Halifax County

May 5 - 7, 2017

Liability In consideration of the acceptance of the right to participate, entrants, participants, and spectators, by execution of this entry form, release and discharge Halifax County Fairgrounds, Halifax County and their officers, directors, agents, representatives, and anyone else associated with management or presentation, of the injuries, losses, judgments and/or claims from any cause whatsoever that may be suffered by an entrant to his person or property.  Further, each entrant expressly agrees to indemnify all the foregoing entities, forms, persons and bodies of all liability caused by the conduct of entrant or any participant assisting or cooperating with entrant under the direction or control of entrant.

TO RESERVE YOUR SPACE COMPLETE BY April 25, 2017

Name__________________________________________________

StreetAddress___________________________________

City/Town _____________________________________

State__________Zip_______________________

Telephone_____________________________________

Type of Exhibit_____________________________________________

E-mail_____________________________________________________

Inside Space _________Outside Space_________

Vendors -- $25.00

Return with payment to the address below by April 25, 2017

Lucy Conner

2042 Armistead Rd.

Nathalie, VA 24577

                           

Contacts:

434-349-3349        Vendor Information

434-476-3300 Ext. 3323 Camping Information

434-572-6879    General Information                                                                                                                          


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