BLOOMSBURG FAIR
RECREATIONAL VEHICLE PARKING
PERMIT APPLICATION 2008

Please print legibly

NAME_______________________________________PHONE_________________________

ADDRESS__________________________________________________________________

___________________________________________________________________________

CITY________________________________STATE_____________ZIP__________________

RV: manufacturer and license #__________________________________________________

Type(motor home or trailer) and size______________________________________________

CIRCLE PARKING DAYS - $15 PER DAY

  FRI   SAT  SUN   MON   TUE   WED   THU   FRI   SAT

TOTAL AMOUNT ENCLOSED $____________________ PERMIT#______________________