Vendor Application Due by July 1
(Please Print - use attachment if req’d)
| Business Name |
_____________________________________________________ | ||
| Contact Name |
_____________________________________________________ | ||
| Address | _____________________________________________________ | ||
| City | _____________________________________________________ | ||
| State | __________________ | Zip | ______________________ |
| Phone | _____________________________________________________ | ||
| _____________________________________________________ | |||
| Type: | __________ Commerical | ___________ Non-Profit | |
| Display Space Size Required | _____________________________ | ||
| Product(s) to be sold/displayed | _____________________________________________________ | ||
| _____________________________________________________ | |||
| Elec. Needs (list voltage + amps or none) | ______________________ | ||
To guarantee appropriate setup, please plan to arrive at 8:00 a.m. on Thursday, Aug. 7.
| Booth Fees (for Four Days) | ||
| Booth Space 10’X10' $90 per space |
$ | ____________ |
| + Electric (extra) 110V add $15 220V by special request only |
$ | ____________ |
| = Total Booth Fee | $ | ____________ |
I have read this prospectus and hereby agree to all conditions outlined for the Dan Emmett Music & Arts Festival. I also agree not to hold the Dan Emmett Music & Arts Festival Inc., and/or the City of Mount Vernon responsible for any suits, claims, damages, loss or damage of property sustained while participating in the Dan Emmett Music & Arts Festival.
Signature: _____________________________________________________
Title: _________________________________________________________
Complete application checklist:
_____ Application form
_____ Cert. of Insurance (or other proof of insurance)
_____ Payment by check
Make checks payable to:
Dan Emmett Music & Arts Festival, Inc.
Mail application to:
Dan Emmett Music & Arts Festival, Inc.
107 S. Main St.
Mount Vernon, OH 43050
Attention: Vendor Division