VENDOR APPLICATION

CHOCOLATE & CHALK ART FESTIVAL

North Shattuck Ave., Berkeley, CA
Saturday, June 5, 2010 – 10AM to 5PM

APPLICATION EARLY DEADLINE IS APRIL 18, 2008

 

Please fill out this form online – it's easier to read if it's typed – then print it. If necessary you may fill out by hand.

Business or
Organization
Mailing
Address
City State Zip
Contact person
Phone Cell Fax
Email
Website
  Applicant hereby releases and agrees to hold harmless and to not bring any lawsuit, arbitration or other action, claim, or proceeding (collectively "Release") against Lisa Bullwinkel or the North Shattuck Association and its members, directors, employees, agents, subcontractors, representatives, attorneys, brokers, insurers, lenders, officers, directors, partners, successors (collectively "Producers") and assigns arising out of or relating to the Chocolate & Chalk Art Festival in Berkeley, CA 2008. This Release includes but is not limited to any claim, loss, expense, cost, obligation, and liability that Applicant may suffer arising out of or relating to the Chocolate & Chalk Art Festival in Berkeley, CA 2008 whether by reason of breach of or failure by the Promoters to perform in any manner or any part of its obligations related to the Chocolate & Chalk Art Festival in Berkeley, CA 2008 or by reason of any act or omission of the Promoters. This Release includes but is not limited to every type of personal injury, property damage and damage to business interests, whether caused by Promoters or a third party, natural or human-made disaster, or animal.

 

Signature _________________________________   Date___________

 
Enclose:
$100/$150 Booth Fee $ 
Health Dept. Application
Health Dept. Fee (separate check) $
CA Sellers Permit #
Certificate of Insurance
Signature on this form
Photos
  List of items for sale with prices
 

ANOTHER BULLWINKEL SHOW

Lisa Bullwinkel

2934 Fulton St.
Berkeley, CA 94705-1861
510.548.5335 Phone & Fax
510.334.6523 Cell

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