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Entry Form

Children's Wish

Name *

First

Last

Address *

Booth Name *

Home Phone

Cell Phone

Email *

Please select the option that applies:

Booth Only – # of booths requested (Before Dec 1) x$85.00 ea.
Booth Only – # of booths requested (After Dec 1) x$95.00 ea.
Booth + Table # of booths requested -1 table ea. (Before Dec 1) x $95.00
Booth + Table # of booths requested -1 table ea. (After Dec 1) x $105.00

Method of Payment – Payment must be received before space is confirmed. *

Cheque - Brenda Nason 590 Rte 636, Harvey, New Brunswick, E6K 3A2
Cash - North Stream Tack 132 Charters Settlement Road, New Maryland
Interact e-transfer - nsfts@nb.aibn.com Please use January as answer to security question

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