VENDOR REGISTRATION

Each person in your group must register separately.  The fee for each person in your group is $64.00.
If you have already completed this registration form for all the members in your group,
Click here to go to the payments page.
Note: if you use an apostrophe in any of the fields below, your online registration
will cause an error. . .so don't use apostrophes.  Thanks!

Personal information:

    First Name:    Last Name:

    Street Address:    

    City / State / Zip: ,  

    Home Phone:    Mobile Phone:

    Email address:

    Note: Your personal information is kept confidential.

Badge  information:

Line 1:

Line 2:

Line 3:

Line 4:

Suggestions:
Line 1, first name
Line 2, company name
Line 4, email address
(leaving some lines blank is ok)

Other  information:

Would you like to be a contestant of the Most Huggable 

Bear Contest?      

Would you like to be considered as a Judge of the Most Huggable Bear Contest?  Only five people will be chosen.

Would you like to participate in the Strip Poker Contest?   

          

  What is the name of your company?

      

  Do you have any special needs?

      

Payment information:

       Run shirt: Would you like a run t-shirt?  

        If yes, indicate size  . . . . 

 

Notes: 5X sizes are NOT guaranteed and may involve an additional charge when we order shirts. On December 1st, run shirts are no longer available as an option.

 

    Fee Schedule:  

         $64.00 (no run shirt)

         $79.00 (with a run shirt) . . .

      

 

Certification:

By clicking 'SUBMIT'  below I hereby certify that I am 21 years of age or older. I certify that while I participate in this event I will not hold Midwest Bearfest Inc., its membership, or any organizations associated with this event responsible for any loss or injury to my person or property. I will not use any nonprescription drugs or illegal substances during any Midwest Bearfest activity. I understand that the run price is NON-REFUNDABLE, this registration is NON-TRANSFERABLE and Midwest Bearfest, Inc is not responsible for cancellation or postponement due to bad weather or other events beyond their control. Midwest Bearfest, Inc reserves the right to modify the schedule of events. When I attend Midwest Bearfest, I understand that it is my personal responsibility to inform any photographers if I do not wish my picture taken.

This site is best viewed with Internet Explorer v5.0 and up at a resolution of 800x600 or better.
 This Web Page and All Content ©1998 - 2008 the Midwest Bearfest Inc ®
(except any copyrighted content used by permission)
This page may not be copied, in whole or in part, without the express written consent of Midwest Bearfest, Inc ®
The name 'Midwest Bearfest' and all associated logos and titles are registered trademarks of Michael Davis