Click HERE to download a PDF version of the Activity Provider Form!

Please email the completed PDF to [email protected] or [email protected] OR you may mail the completed form and payment check (payable to Appleton-Fox Cities Kiwanis) to:

Appleton-Fox Cities Kiwanis
Butterfly Festival
PO Box 62
Appleton, WI 54912

PLEASE NOTE: The form below should only be used for credit card payments. If you are paying by check, please download the PDF from the link above and follow the instructions.

2019 Activity Provider Registration
(As it will appear in event program and on signage)
(We communicate via email)
Address
Address
City
State/Province
Zip/Postal
Credit Card We Accept Visa, MasterCard, American Express, Discover, and Diners Club
Credit Card <a href="https://www.3dcart.com/credit-card-logos.html"><img alt="We Accept Visa, MasterCard, American Express, Discover, and Diners Club" title="Credit Card Logos" src="https://www.3dcart.com/images/credit-card-logos/cc-sm-4_b.png" width="198" height="28" border="0" /></a>
Month
Year
CVV
General Terms and Conditions: By signing this agreement Vendor agrees to indemnify Appleton-Fox Cities Kiwanis, any supporters of the Butterfly Festival and their officers, employees, agents representatives and volunteers and any organization involved with the production of the Butterfly Festival and will hold each of them harmless from any and all actions, damages, and claims to persons or property, penalties, obligations, liabilities or attorney’s fees that may be asserted or claims by any person, firm, entity, corporation, political subdivision or other organization arising out of any negligent or intentional tortuous acts, errors or omissions of vendor, its agents employees, subcontractors, or invitees provided herein and arising out of the performance of this agreement.

Payment Terms: Payment due when contact is turned in to reserve booth space.

Acceptance: Appleton-Fox Cities Kiwanis reserves the right to alter or reject any application, which is not in keeping with the Butterfly Festivals theme and standards.

Please type your first and last name. Entering your full name here constitutes an electronic signature of the above form.
I agree to the above terms and price *