Pleasant Hills Community Day Booth Application Form

All fields are required for online submission

Organization Information
Contact Name:
Zip Code:
Main phone #:
Mobile phone #:
Email address:
Booth Categories & Requirements
Profit Class: (Select one)
Organization Type: (Select one)
Booth type (required)  Food
 Services, Fee based
A Single 115VAC Duplex-receptacle-box for Power will be provided ONLY if requested here. If more is required, select how many here.
If Food, Games or Merchandise were selected above for Booth Type, you may select Up-to-Four Primary selections below.  
    Selection #1
    Selection #2
    Selection #3
    Selection #4
Select the Booth Size you require:
Enter Notes & unusual requirements here:
Note: Minimum booth fee - $25.00  
Your Total booth fee >>>:  
Payment must be received in order for the Application to be accepted. Payment instructions will be displayed on the confirmation page.