ANTIQUES, ARTS & CRAFTS VENDOR
APPLICATION
Name__________________________________________DBA___________________________
Street
Address__________________________________
City, State, Zip
Code__________________________________ Email_____________________
Telephone-Home___________________Work___________________Cell__________________
We--DO _____ DO NOT _____
carry liability insurance for
this event.
Number of Spaces desired @ $65.00 each $______________________________
Electricity @ $15.00 addition per space $______________________________
Total (include
TOTAL amount please) $______________________________
BOOTHS are approximately 10 x
12 –Number required________
ELECTRICAL REQUIREMENTS How many outlets? ______
Amps? ______
Vendor to furnish all
extension cords—All equipment must be in good working
order and is subject to inspection.
List and describe the
products to be sold in your booth. Include additional sheets if needed.
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
HOLD HARMLESS AND INDEMNIFICATION AGREEMENT
We, the undersigned, for and
in consideration of permission and space to participate in the Liberty Day
Festival at Cedar Bluff, Alabama, agree to indemnify, hold harmless and defend
the Town of Cedar Bluff, AL, and the Cedar Bluff Parks and Recreation Committee,
its officials, representatives, agents, servants, volunteers, from and against
any and all claims, action, lawsuits, damages, judgments, liability and
expense, including attorney fees and litigation expense, in whole or in part
arising out of, connected with or in any way associated with my/our activities
preparing for Liberty Day or departing from Liberty Day. I have read and fully
understand the above Hold Harmless and Indemnification Agreement.
Signature of
Vendor_________________________________________________Date________________________
Print
Name____________________________________________________________________________________
Signature of Parent/Legal
Guardian (if under 19 years of age) ____________________________________________
Printed Name of
Parent/Guardian__________________________________________________________________
MAKE CHECKS PAYABLE TO
C/O Town of
Cedar
For Additional information or questions contact: Town
of
_______________________________________________________________
OFFICE USE ONLY—DATE REC’D_________________________
AMOUNT REC’D____________________________