All vendors of the Central Panhandle Fair must provide proof of liability insurance. Facility Rental Request Form Vendor or Business Name (if applicable)(Required)Name(Required) First Last Phone(Required)Email(Required) Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Event InformationType of Event(Required)Event Date (Start)(Required) Month Day Year Event Start Time(Required) Hour : Minutes AM PM AM/PM Event Date End(Required) Month Day Year Event End Time(Required) Hour : Minutes AM PM AM/PM Which Facilities Are You Interested in Renting?(Required) Entire Fairground and Building(s) Entire Fairground Building (main building only) Fairground (outside only) Carr Hall (34 x 80 – 2,700 square feet) Exhibit Hall (38 by 212 – 8,056 square feet) Farmers Market (50 by 160 – 8,000 square feet) Legion Hall (34 by 80 – 2,700 square feet) Do You Have Liability Insurance?(Required) YES NO RequirementsExpected AttendanceDo You Need Security?(Required) YES NO Security (Please Describe)(Required)Do You Need Water?(Required) YES NO Water (Please Describe)(Required)Do You Need Electricity?(Required) YES NO Electricity (Please Describe)(Required)Chairs – INSIDE USE ONLY (If needed, please tell us how many you'd like)(Required)6 Foot Tables – INSIDE USE ONLY (If needed, please tell us how many you'd like)(Required)8 Foot Tables – INSIDE USE ONLY (If needed, please tell us how many you'd like)(Required)Expected Parking Needs (Please Describe Number of Cars)(Required)PLEASE NOTE: Parking attendants are the renter’s responsibility.Are You Advertising Your Event On Our Facebook or Website(Required) YES NO Accessibility Concerns?(Required) YES NO May We Add You To Our Mailing List To Contact You In The Future? YesWhat is 4+2? (Anti-Spam)(Required)
