_________________________________________________________________ 
Club/Group Name (To be Listed in Program Exactly as Shown)

_________________________________________________________________ 
Club/Group Street Address (or P.O. Box Number)

_________________________________________________________________ 
City					State		Zip

_________________________________________________________________
Name of Person to Contact Concerning Exhibit Arrangements

_________________________________________________________________ 
Address of Contact Person if Different than Above

_________________________________________________________________ 
Club Telephone Number

_________________________________________________________________ 
Club Fax Number

_________________________________________________________________
Club Email Address

_________________________________________________________________
Club Web Site URL

_________________________________________________________________
Signature

________________________________________________________________
Date


Booth(s) # Choice(s)

1st ___________  2nd ___________  3rd ___________

Please PRINT full names and calls of those working the show.
Include your name if you are working the show.  Information is
required for exhibitor badge credential information.  Complimentary
registration/exhibitor badges are limited to two per organization.
Tickets must be purchased for all others.

1.  _____________________________________________________________
    Name                                      Call

2.  _____________________________________________________________
    Name                                      Call

THIS APPLICATION SUBMITTED BY

_________________________________________________________________ 
Name                                     Call

_________________________________________________________________ 
Street Address	

_________________________________________________________________ 
City					State		Zip

_________________________________________________________________ 
Your Daytime Telephone Number

_________________________________________________________________ 
Your Evening Telephone Number

_________________________________________________________________
Your Email Address

_________________________________________________________________
Date

Application must be completed in full.

Please return completed application to:

Harold Smith
General Chairman
Rochester Hamfest
300 White Spruce Blvd
Rochester, New York 14623
Phone (585) 424-7184
Fax   (585) 424-7130