Application

Cleveland Beats & Eats

July - August – 2010

Submission Deadlines One Week Prior to Each Event

Today’s Date:                                     

Company Name______________________________________ Contact Person_________________________

                                Please print as you wish company name to appear on handouts at this event

Address__________________________________________________________________________________

                        Street                                                                                City                                                                  Zip

Phone (         )_______________________________________________     ____________ a.m. __________ p.m.

            Area Code                                                                                                                        Indicate best time(s) to be reached

E-Mail Address ____________________________________________________________________________

q       Artist

q       Crafter

Craft/merchandise Sold (please print)_____________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

Equipment required for operation:  PLEASE MARK ALL THAT APPLY.

o        Propane

o        Electric Power

o        Water

o        Other

Dates of Participation:

(  )  Tuesday, August 3, 2010                                   (  ) Tuesday, August 10, 2010

(  )  Tuesday, August 17, 2010                                 (  )  Tuesday, July 27, 2010

(  ) Tuesday, August 24, 2010                                  (  ) Tuesday, August 31, 2010

Total number of dates Selected: _________          X $20.00 per date = __________________

Signature__________________________________________________________________________________

By signing this agreement, I agree to all of the terms and conditions for this event.

Please make check or money order payable to:                                    Mail payment to:

Northcoast Promotions, Inc.                                   Northcoast Promotions, Inc.

(A $25 service charge will be added to                                                      P.O. Box 609401

checks returned for insufficient funds)                                                         Cleveland, Ohio 44109

                                                                                                                Attn:  Lisa

P.O. Box 609401  *  Cleveland Ohio 44109  *  PHONE 216.570.8201  *  WEB www.northcoastpromo.com