Sponsorship ForM

The Future of our Food and Farms

Please print and return this form to:  The Future of Our Food and Farms · The Farmers’ Market Trust

1201 Chestnut Street, 4th Floor · Philadelphia, PA  19104 · Fax: (215) 568-0882

Name:

 

 

Organization:

 

 

Address:

 

 

Phone:

(         )

Fax:

(         )

E-Mail:

 

 

 

 


Level of sponsorship: ________________

 

Total donation amount: ______________


 

Method of payment:

 

(make checks payable to Farmers’ Market Trust)

Credit card account number:

 

Expiration date:

 

Signature:

 

 

 

Exhibitor Form

 

 

Name:

 

 

Organization:

 

 

Address:

 

 

Phone:

(         )

Fax:

(         )

E-Mail:

 

 

 


q Commercial $150

q  Nonprofit $75

q Nonprofit - ˝ table $40

Total Amount: _________ (Electricity is an additional $30)

 

 


Method of payment:

 

(make checks payable to Farmers’ Market Trust)

Credit card account number:

 

Expiration date:

 

Signature: