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P.O. Box 55 Chagrin Falls, Ohio 44022 (440) 247-1004 •

BOARD OF DIRECTORS President Paul Chess Vice Presidents Dan Beavers Andy Hitchcock Treasurer Brenan Rucker Legal Council John Liber Secretary Joe Constant Risk Management Advisor Mike Chess Past-President Mario Piano

Directors Jim Holdren Mike Collins

JAYCEE CREED: We Believe: That faith in God gives meaning and purpose to human life; That the brotherhood of man transcends the sovereignty of nations; That economic justice can best be won by free men through free enterprise; That government should be of laws rather than of men; That earth's great treasure lies in human personality; And that service to humanity is the best work of life.

55th Annual Blossom Time “Taste Of Chagrin” Booth Application / Invoice Name of Organization: ___________________________ Contact Person: _____________________________ Contact Phone Number: ______________________________ Contact Person’s Email: _________________________ Total Amount Enclosed: ________________________________ What Electrical Service do you need? _________________________________ Do you currently have a proper Food Service Permit? Yes: ____ No: ____ NOTE: If you have NO permit, you MUST obtain a temporary permit from Cuyahoga County Board of Health. Please have your completed application and required payment (to County) at time of your Sat. morning inspection. Please provide a photo or sketch showing your site layout or trailer. Please note that the amounts shown are the minimum donation required to secure a booth location. Event Dates: Sat May 28th & Sun May 29th *Non-Profit & Non-Political Organizations: $400 *For Profit & Political Organizations: $600

David Fisher

Please return this application with payment in full by May 1st.

John Goss

Payment must accompany application for a booth to be reserved for you.

Jon Seewald

NOTE: Make checks payable to: “The Chagrin Valley Jaycees”

Kevin Gray

Mail this application with your check to: Chagrin Valley Jaycees Attn: Taste Chairman P.O. BOX 55 Chagrin Falls, OH 44022 (receipts are available upon request)

Matt Nelson Brian Paul

Questions? Call: Phil Siegel at 440.552.5847 / Mark Evans at 216.704.9497 / We appreciate your support and look forward to another fun and successful Blossom Time. Your donations help the Chagrin Valley Jaycees to support dozens of local charities. Thank You!

2011 BT Taste Application  

Directors Jim Holdren President Paul Chess Kevin Gray Jon Seewald Matt Nelson Contact Phone Number: ______________________________ John Goss...