EmailMeForm
2016 MadCity Bazaar Performer/Program Registration
Thank you for your interest in singing, playing music (busking), teaching a class, running a project or providing your services at MadCity Bazaar!
Please complete this form to assist in our scheduling a variety of events, classes and activities for the 2016 MadCity Bazaar Season.
FAQs
- Please mark the days you are available
- Location is at Trinity Lutheran Church Parking Lot (1904 Winnebago St.)
- August 6th market will take place at Winnebago Studios Parking Lot (2046 Winnebago St.)
- Hours are 9a-3p
- Space will be arranged depending on your activity
- Fee/payment arrangements will be decided on an individual basis
- Our events will run rain or shine
- We will provide a small sound system and electricity
- We will provide a tent for shade if needed
You will receive a confirmation email that your submission has been received and one of our team members will be in touch about the details regarding your participation at MadCity Bazaar.
Name
*
First
Last
Business Name
Email
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Phone
*
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Web Site
Seller's Permit Number
If you do not have a WI Sellers Permit number please note if your sellers permit is pending or applied for.
Facebook Page
Twitter Handle
Insurance Company
If you do not currently carry general liability insurance at this time please write NONE.
Policy Number
Logo or action photo
*
This photo we will use for publicity purpouses.
Publicity Photo
*
Publicity Photo
*
Publicity Photo
Publicity Photo
Please enter a short statement about you, your business and product line. This text may be used for promotion of the event.
*
MCB Vending Dates
*
Saturday, May 7th
Saturday, May 14th
Saturday, June 4th
Saturday, June 18th
Saturday, July 2nd
Saturday, July 16th
Saturday, August 6th
Saturday, August 20th
Saturday, September 3rd
Saturday, September 17th
Please check all the boxes that apply to you or All Dates you would like to participate at MCB.
Times you are available
Please list the start and finish time of your activity or program. If you are open to the time of day please list the duration of your activity or event.
Questions or Comments