Activity Provider Registration

Click below to download a appropriate PDF version of the Activity Provider Form:

Please email the completed PDF to [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.

2024 Activity Provider Registration

Business Name *

(As it will appear in event program and on signage)

Contact First Name *

Contact Last Name *

Email Address *

(We communicate via email)

Address

City

State/Province

Zip/Postal

Phone Number *

Website

What is the planned activity within your booth? (only applicable if you have a booth)

Electricity needed? (Limited availability, must be ordered in advance) *

Number of 8 FT tables needed? *

Number of chairs needed? *

Activity Provider Package (For-Profit $100 / Non-Profit $0)? *

Additional Butterfly Donation (in Dollars)

Total Donation Amount (in Dollars)

Credit Card

Month

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.

Electronic Signature *

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 *

I agree to the above terms and price

Activity Provider Registration

2024 Sponsors