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2. Name of Business/ Organization*
4. Name of Contact Person*
6. Contact Person Phone Number*
8. Contact Email*
10. Is the business/ organization currently located on Main Street in Ephraim between 200 N. and 100 S. ?*

    1. Yes
    2. No
12. Do you have an idea on how you would like to be involved? If yes, share with us your ideas. If no, leave blank.*
14. Are there specific accommodations your space will need? (For example: need 30 feet of space, access to power, etc)*
16. Upon submitting this application, you will receive an email with further instructions within a few business days. Thank you for participating!
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field