2015 AMERICAN PIE – 4TH OF JULY NON-FOOD VENDOR REGISTRATION FORM Name of Organization/Company: _____________________________________________________________ Contact Person: _______________________________ Phone ________________ FAX _______________ Mailing Address: __________________________________________________________________________ Street Address/P. O. Box # _______________________ ____________ ____________ ___________________________ City Zip Code Email address State NON FOOD Vendor (arts and crafts, not for profits, no “store”) $40.00 ____ Retail/Service Business, Political Candidates $150.00 ____ Electricity $20.00 additional per outlet (15 amp max) # of outlets _____ Total electrical fee _____ Indicate any special needs. You must provide your own extension cords. # Of spaces needed _______ (maximum size of space is 10’ X 10’) Describe type of unit, size or set up (ex. Tent, RV, trailer, etc.) and maximum exterior dimensions ____________________________________________________________________________ Note: If your total set up does not fit into a 10 X 10 ft. space, additional spaces will need to be purchased. Describe ALL items for sale, services provided or items to be given away free. Please note that you may be restricted from giving away certain items if they conflict with the exact items being sold (Please be specific). You ARE NOT permitted to sell or give away any food or drink products. NO SALE OR DISTRIBUTION OF ANY FOOD OR DRINK PRODUCTS WILL BE PERMITTED ELECTRICITY WILL NOT BE AVAILABLE TO YOU UNLESS REQUESTED ON THIS FORM th By submitting an application, I agree to abide by the rules set forth by the American Pie – 4 of July committee, and I understand that the Rotary Club of Orange Park, Rotary Club of Green Cove Springs, the City of Green Cove Springs, including its council and/or staff, Reynolds Park, or any event sponsor are not responsible for the loss or damage of work, and/or any claims, injuries, costs, damages or any other liabilities which may result. I further agree to hold harmless all entities associated with this function. I am further responsible for communicating all such rules and provisions to any other individuals associated with my activities. We will make every effort to avoid duplication of products and services or for similar vendors to be in close proximately to each other. There will be, however, no guarantee or exclusivity for products, services or location. On the day of the event once assigned a location, there will be no moves unless the area is deemed unsuitable by the event coordinator. Payment type: Check number ________ enclosed $ _________*Sales Tax #_______________________ *If you need a Sales tax # for the event contact Dept of Revenue at 386-758-0420 Signature ______________________________________ (ALL MUST SIGN) IMPORTANT: Vehicles WILL NOT be allowed in the vendor area from 9:30 AM until after the fireworks are completed and ALL PEDESTRIANS HAVE EXITED THE RIVER ROAD/VENDOR AREA. Please make checks payable to RCOP (Rotary Club of Orange Park) CHARITABLE FOUNDATION. Mail registration form and checks to: American Pie – 4th of July Attn: General Vendor P. O. Box 445 Orange Park, FL 32067-0445 NO RAIN DATES – NO REFUNDS General vendors can contact Carla Adcock at (904) 264-0520
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