Genola Town Celebration 2023 Saturday, June 17th Booth Registration for Genola Town Celebration Business Name(Required) Name(Required) First Last Address(Required) Cell Phone(Required) Email(Required) Enter Email Confirm Email Items to be sold(Required) Electricity Needed:Set up will be from 9:00 AM - 10:00 AM. Please be prepared to stay until 3:00 PM Yes No *Payment must a company registration form and must be received no later than June 6th, 2023.*Payment must a company registration form and must be received no later than June 6th, 2023. Product Name $15.00 Booth Fee — Tents are not provided for any of the booths $10.00 Booth Fee — Age 14 - 18 $5.00 Booth Fee — Age 13 & Under Credit Card Processing FeesStripe processing fees are added to the total price you pay. Stripe fees are 2.9% +$0.3 Price: $0.00 Total Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name