Vendor Application
Please PRINT clearly below and make sure all information is correct. Copy paste and print application, or copy past to email.
Name/Organization: _____________________________________________________
Address: _________________________________________________________
_________________________________________________________________
Contact Person: _________________________________________________________
Phone: Day: (____) _______________ Evening: (____)_____________
E-mail: ____________________________________________________
Description of merchandise to be sold or information to be distributed:
_____________________________________________________________________________________
Fees (Non-Refundable) Quantity Amount
Food Sellers $150.00
For Profit $150.00
Informational No charge
Non-Profit No charge
Electric $50.00 per line
Special Events Health License (Please Provide a Copy) Mercantile License (Please Provide a Copy)
All food providers must obtain a health License from the City of Harrisburg prior to the Concert
All food vendors must have a Special events license and a mercantile license, if you already have them send a copy with your application.
ALL BOOTHS ARE 10’ x 10’.
A $35.00 fee will be added to all registrations after 3/30/2008 and/or on the day of concert.
Only cash or money orders will be acceptable for vendor registration the day of the event.Vendor Fees are Non-refundable.
By signing this application, I attest that I have read the Vendor Regulations, and have executed the Waiver of Liability. I understand that once my application is accepted, the terms listed on the aforementioned will constitute a rental agreement, and I agree to be bound by these terms. I understand that non-compliance with any of the terms may result in the cancellation of my registration as a vendor and the forfeiture of my fees. By signing on behalf of a business or organization, I certify that I am authorized to enter into a contractual agreement on behalf of the said business or organization. I understand that concert organizers reserve the right to reject my application.
Signature and title: ____________________________________
Date: ______________ (Don’t forget to sign waiver below)Waiver of liability
The agreement to rent a booth space is made upon the express condition that the City of Harrisburg, The Pennslvania Network of Unity Coalitions, and their board of directors and volunteers, hereinafter referred to as the Lessor, shall be free from all liabilities and claims for damages and/or suits for or by reason of any injury or injuries to any person or persons or property of any kind whatsoever, whether the person or property of Lessee, Its agents or employees, or third persons, from any cause or causes whatsoever while in or upon said premises or any part thereof during the term of this agreement or occasioned by any occupancy or use of said premises or any activity carried on by lessee in connection therewith. The Lessee hereby covenants and agrees to indemnify and save harmless the Lessor from all liabilities, charges, expenses (including counsel fees) and costs on account of or by reason of any such injuries, liabilities, claims, suits, or losses however occurring or damages growing out of same.
The Lessee warrants and guarantees that Lessee is property insured for all time periods and places covered by this agreement. The Lessee agrees to assume all risks of loss, injury or damage of any kind or nature whatsoever to any building or other structure belonging to said Lessee, which may be now or hereafter placed upon all leased premises, and all risks of loss, injury, or damage of any kind or nature whatsoever to the contents of any building or structures, or to any goods, merchandise, chattels, or any other property now or that may hereafter be upon said leased premises, whether belonging to the Lessee or others, and whether such loss, injury from, fire, or other agency, and whether the same be caused by the negligence of the Lessor, or any of its volunteers or agents, or otherwise, and to save and keep harmless the Lessor from all claims and suits growing out of such loss, injury, or damage.
With my signature, I attest that I have read and understand this waiver, and agree to be bound by its terms.
Business/Organization: ___________________________________________________
Address: _______________________________________________________________
Signature of Lessee (or authorized person): ___________________________________ Date: __________________
Event Information: Go to www.musiciansagainsthate.bravehost.com
Questions?
Phone & Fax: (717)-695-0185 E-mail: biancudenn@comcast.net
Make checks or money order payable to: Pennsylvania Network of Unity Coalitions Mail to: Pennsylvania Network of Unity Coalitions . 3523 N Second Street Harrisburg, PA 17110
bravenet.com