Attalla Alabama

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Attalla Heritage Day Registration Form

Saturday, October 17th 9:00 a.m. - 5:00 p.m.

Attalla Heritage Day Registration Form
  1. Today's Date(*)
    Please select a date when we should contact you.
  2. First Name(*)
    Please type your full name.
  3. Last Name(*)
    Please type your full name.
  4. Address(*)
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  5. City(*)
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  6. State
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  7. Zip Code(*)
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  8. E-mail(*)
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  9. Phone
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  10. Please select which applies to your business or service
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  11. Please describe your exhibit
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  12. Do you need electricity?
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  13. How should we contact you?
  14. Anti-Spam Verification(*)
    Anti-Spam Verification
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  15.   
  16. The City of Attalla, Alabama and the 2013 Heritage Day Festival committee will not be held responsible for any injury or loss that may occur or what may come to the exhibitor or his assistants, or his goods for sale for any cause whatsoever.

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