P.O. Box 55 Chagrin Falls, Ohio 44022 (440) 247-1004 • www.cvjc.org
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
Please return this application with payment in full by May 1st.
Payment must accompany application for a booth to be reserved for you.
NOTE: Make checks payable to: “The Chagrin Valley Jaycees”
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 / firstname.lastname@example.org Mark Evans at 216.704.9497 / email@example.com 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!