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Membership Renewal Form
2024-2025 Associate Membership Registration Form
Business Information
Associate Business Name
(Required)
Contact Name
(Required)
First
Last
Business Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
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Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Primary Phone Number
(Required)
Cell Phone Number
Email
(Required)
Website
Type of Business
(Required)
Agent & Agencies (produces & provides entertainment for at least 6 venues in a year w/minimum of 3 different acts)
Animal Acts, Petting Zoos & Related
Awards, Ribbons, Promotional Items
Carnivals & Rides
Concessions – Vendors & Foodservice Suppliers
Equipment & Rentals (Bleachers, Tables & Chairs, Tents, Stages, etc.)
Fireworks
Grounds Attractions (Strolling, Magic, Comedy, Juggling, Hypnotists, Chainsaw Artists, Stationary Attractions, etc.)
Insurance Agencies
Motorsports, Pulls, & Demos
Music, Solo Acts & Groups
Organizations & Individuals, Technical & Special Services, Websites
Rodeos
Sound Systems, Lighting, Stages & Related
Chambers & Festivals
Brief Description of business
Payment
Total
Credit Card
(Required)
Card Details
Cardholder Name
Billing Address
(Required)
Same as Business Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
This field is for validation purposes and should be left unchanged.
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Conference Registration
Interested in becoming a Fair Member?
Fill out the form below or call us at
(563) 547-4996
Name
(Required)
First
Last
Fair Name
(Required)
Phone
(Required)
Email
(Required)
Message
Phone
This field is for validation purposes and should be left unchanged.
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