Non- Vendor Registration Form

ONLINE RADIO FIESTA APPLICATION
Non-Vendor/Dealer only

Your Name (required)

Your Call Sign

Mailing Address (required)

City (required)

State (required)

Zip (required)

Your Email (required)

Phone "123-456-7890" (required)

Cell Phone "123-456-7890" (required)

Number of Tables?

Need electricity?
NoYes
(NOTE: We guarantee 120 volt power for DEALER TABLES ONLY).