Permit - Pioneer Oil Days
2015 Bolivar Pioneer Oil Days Vendor Permit Vendor chairs: Rick & Lois Whitney 585 928-1001 Mail all forms to: Pioneer Oil Days PO Box 402 Bolivar, NY 14715 Attention: Rick Whitney [email protected] All proceeds will go to Bolivar Lions Club *********************************************************************** Organization/Group Name: ________________________________________________ Address___________________________________________________________________________ Contact Person: ______________________________ Phone Number: _____________ Address: (if different than above) ______________________________________________________________ E-mail address(We are trying to use the internet more this year so this will be very helpful.) ___________________________________________________________ Vendors will need to provide their own canopy, table(s), and chairs and all locations are outside. Describe what you plan to do/sell during Pioneer Oil Days. Please list specific items. There is a possibility that someone else might be selling similar products this year as we are not limiting vendors or products. __________________________________________________________________________________________ __________________________________________________________________________________________ Desired Location ____________________________________________________________________ (If you have previously set up and liked your spot just put same as last year’s location). All locations will be assigned at our discretion. Any questions please contact vendor chair. Space size (up to12’x 12’) $30.00_______ Larger than 12’x12’ $60.00 ___________ Electric needed? ____________ (limited-food vendors have preference) Additional charge for electricity Please make checks payable to: Bolivar Lions Club Day and Time: Saturday, June 27, 2015 7:00 a.m. to 4:00 p.m. Saturday (27th) only ________ I would like to set up during the week: Wednesday(24) ______, Thursday(25)_____ Friday(26) _______ & Saturday(27)________ Comments: Food vendors may wish to stay later on Saturday since there are alumni in town for the weekend. **Food vendors will need a permit from the Allegany County Department of Health this year. See vendor letter for more information. There is no security available. Deadline: June 1, 2015 late fee of additional $5.00 if received after June 1st If you need to cancel and notify the chairperson prior to June 10, 2015, 50% of vendor’s fee will be returned. After that date no refund will be given unless there is a proven medical emergency. I understand that I will be responsible for all clean up of the site for the purposes I have stated above. ________________________________________ ___________________________________ Signature Date ************************************************************************************ Date permit received: ______________________________Fee Paid: $ ________ Method of Payment: __________________________ Comments: __________________________________________________________________________ ___________________________________________________________ Signature of Vendor Chair
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