Nightmare on Main Registration

2. Name of Business/ Organization*
4. Name of Contact Person*
6. Contact Person Phone Number*
8. Contact Email*
10. Is the business/ organization currently located on Main Street in Ephraim between 200 N. and 100 S. ?*

    1. Yes
    2. No
12. Please tell us what you would like to do for your booth (example: a game like ring toss, just hand out candy, hand out fliers, etc) *

    Describing what you are going to offer at your booth will help us to properly space the participants so there isn't too big of a crowd in one area. 

14. Are there specific accommodations your space will need? (For example: need 30 feet of space, access to power, etc)*
16. Upon submitting this application, you will receive an email with further instructions within a few business days. Thank you for participating!
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field