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
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Organization/Group Name: ________________________________________________
Address___________________________________________________________________________
Contact Person: ______________________________ Phone Number: _____________
Address: (if different than above)
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E-mail address(We are trying to use the internet more this year so this will be very helpful.)
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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.
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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.
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Signature
Date
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Date permit received: ______________________________Fee Paid: $ ________
Method of Payment: __________________________
Comments: __________________________________________________________________________
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Signature of Vendor Chair