Vendor Application

Company Name__________________________________________

Representative______________________________________________

Address____________________________________________________

City, State & Zip___________________________________________

Phone#__________________ E-Mail___________________________

Web Site_________________________________________________

Type of Goods or Service _________________________________

_____________________________________________________

Special needs?____________________________________________

Regular Vendor Fee-$50 Cash(check) and $50 of merchandise=_____

OR-- Sponsor Package________________________________

Convention Package includes all but shooting at $ 68 per person=$_____
( Fri. Night Social & Chuck Wagon , Sat. Night Banquet & Lunch for 3 days)

Additional Guest Tickets 

Social & Dinner____@$25=_____ Child Social____@$10=_____ Banquet____@$25=_____ 
Lunch____@$6 a day=_____ Child Banquet___@$10=____
(Children 7 & under free)

Total Enclosed ________

If shooting please fill out a separate shooters application

Make checks out to -The Southern Missouri Rangers

Mail to: The Southern Missouri Rangers c/o Jim Downing
1525 N. Benton Ave. Springfield, MO 65803

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