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4. First and Last Name*
5. Email*
7. Business Name*
8. Mobile Phone Number*
10. Address1
12. City
13. State
14. Zip
16. Sales Tax ID #

    or Social Security #

17. Driver's License #*
18. DOB*
20. What products or services you sell?*
22. What item(s) will you be donating to the raffle?*
23. EVENT DETAILS
    • Date: July 1, 2023
    • Location: Legacy Park 1140 W 1100 N, NSL, UT 84054
    • Contact: NSL Recreation: (801- 335-8712) recreation@nslcity.org
    • Suggested arrival time to set up booth: 6:30 am
    • Event times: 7am-1pm (approx.)
    • Estimated number of attendees: 500-1,000
    • Size: bring your own 10x10 tent, table and chairs
    • Participation fee: Donation prize(s) for our raffle
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