Lynchburg Community Market Application
Stall rental by nonprofit organizations
Nonprofit Organization *
Your answer
501(c)3 Number
Your answer
Other Nonprofit Classification and ID No.
Please send copy of letter to ricky.kowalewski@lynchburgva.gov
Your answer
Contact Person *
Your answer
Mailing Address *
Your answer
Phone Number
Your answer
Email Address *
Your answer
Please give a description of the services you plan to promote or products you plan to sell *
Your answer
Please give a preferred date *
MM
/
DD
1st Alternate
MM
/
DD
2nd Alternate
MM
/
DD
Has your nonprofit displayed at the Community Market before? *
Fees (to be paid before setup)
• There is no fee for displaying literature only
• There will be a fee of $10 if selling any items (cards, cookies, popcorn, raffles, etc)

One table and 2 chairs will be provided to you. If you wish to rent an extra table and chairs, the cost will be $5/table and must be arranged ahead of time.

Applicant Signature *
Your answer
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