Jasper County Home and Garden Expo Application

Business Information

Vendor Name *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Contact Name *

Email *

Email

Confirm Email

Your email will never be shared or sold. This is for use by the DeMotte & Rensselaer Chambers only.

Phone *

Your phone number will never be shared or sold. This is for use by the DeMotte & Rensselaer Chambers only.

Does this phone receive texts? *

Yes
No

Membership

Tell us about your current chamber membership. If you are not currently a member and want to become one, reach out to your local chamber office. Becoming a Chamber member will give you a discount on your booth space as well as many other member benefits!

Are you a chamber member? *

Yes
No

Chamber or Town Affiliation *

Please check all that apply

Business Information

Membership

Sponsor Information

Booth Information

Additional Needs