Name of Business/Organization: ________________________________________________________
Name of contact person:
________________________________________________________
Business phone: _________________ Mobile #: _________________
Mailing address: ___________________________________________________________
___________________________________________________________
Email address: ________________________________________________
Brief description of items you will be selling: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
(PLEASE CHECK ONE)
_____ Charity/Non-Profit Organization
_____ For Profit
IF Charity/Non-Profit was chosen, please indicate percentage of proceeds given _______________
Please complete application and return to Jorjanne Paulk via email at jorjanne@paulkvineyards.com or 1788 Satilla Road Wray, GA 31798 no later than February 28, 2021.
