Please Submit the Following Form to Register,

The name of your group or organization:


Describe your organization and what type of booth you would like at this event:
Non-profit_________________________________________________________________________________________
Other_____________________________________________________________________________________________

How many people will be working your booth?

Request a Reservation: _____________________________________________________________________________

There is a limited amount of electricity and with specific booth locations; electricity is $10.00 a day. Please see park map
Do you want electricity at your booth?

Does your group want speaking time?

Would your group like to do a workshop? Please email Aurara at citizensforsustainibility@gmail.com

Tell us how to contact you:
Contact Person: ____________________________________________________________________________________
E-Mail: ____________________________________________________________________________________________
Telephone: ________________________________________________________________________________________
You’re Website: ____________________________________________________________________________________
Your mailing address: _______________________________________________________________________________
                                       ___________________________________________________________________________
Alternate Contact: __________________________________________________________________________________
E-Mail: ____________________________________________________________________________________________
Telephone: ________________________________________________________________________________________

PRINT NAME: ______________________________________SIGN NAME: ____________________________________

Earth Jam Productions is not responsible for any lost, stolen or damaged property. Nor are we affiliated with Political Party’s. All registration fees go to Earth Jam Productions.

Please send your application and check or money order to:

Earth Jam Production
1473 South 1100 East # J
Salt Lake City, UT. 84105

any questions please call or email:

Dena Ranck
Vending Coordinator
801-425-2460
        TYPE OF BOOTHS: BOOTH FEES:

NON-PROFIT GROUPS: with information only __________________________________NO CHARGE
NON-PROFIT GROUPS: Receiving donations (no vending)_________________________$20.00 a day
NON-PROFIT GROUPS: Selling items_________________________________________$20.00 a day
BUSINESSES, VENDORS, ARTIST BOOTHS_________________________$60.00 a day or $120.00 for both days
Any other booth with sales

Earth Jam Productions is not responsible for any lost, stolen or damaged property. Nor are we affiliated with Political Party’s. All registration fees go to Earth Jam Productions.
dena@earthjam.org
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FIRE STAGE MAP