2015 VENDOR APPLICATION (For Event Use Only):
**Please print and complete both pages/sides of page**Date received: ______
Amount received: ______
CONTACT INFORMATION:
BUSINESS NAME: ______
BUSINESS MAILING ADDRESS:______
CITY: ______STATE: ______ZIP: ______
VENDOR CONTACT NAME: ______
DAYTIME PHONE: ( )______EVENING PHONE: ( )______
CELL PHONE: ( )______E-MAIL ADDRESS: ______
VENDOR UBI# ______
PRODUCT AND SALES INFORMATION:
Please list all items to be sold at the festival. Vendors will be granted permission to sell only what is listed.
______
______
______
______
List full names of workers who will be selling for your business:
______
______
LICENSE AND PERMITS INFORMATION
Please check all licenses and permits you are required to have to operate your business. Provide a copy of each with this application.
Food Processors Permit Nursery License Organic Certification
Commercial Kitchen Permit Food Handlers Permit Grade A Dairy Permit
Pesticide Applicators License Fisheries Wholesale License Other
POWER NEEDS:
Do you require power to conduct your business? Yes No
If yes, please indicate total AMPS needed: ______
FEES AND PAYMENT:
EARLY REGISTRATION FEE(received before April 17, 2015):$50
LATER REGISTRATION FEE(received after April 17, 2015):$60
NON-PROFIT ORGANIZATION(with status proof):$25
Please make checks payable to “PIAZZA RENTON”
Mail completed application and payment to:Piazza Renton; PO BOX 1471; Renton, WA 98057
ACKNOWLEDGEMENT AND SIGNATURE
Please READ and INITIAL the following, acknowledging and agreeing that
_____ The information provided in this application is true and correct.
_____ The registration fee covers a 10x10 outdoor booth space in Piazza Park.
_____Booth space is located on sidewalk or grass area of Park (sometimes not entirely level)
_____ Tents, weights, tables, chairs and tarps are not included in the registration fee
_____ Electricity is not available to all spaces. If needed, it has been requested above
_____ Vendor shall indemnify, defend, and hold harmless the Spring Festival Event and all agencies the Event has agreements with, including City of Renton, from and against, any and all claims and demands, whether for injuries to persons, or loss of life, or damage to property, on or off the premises, arising out of the use or occupancy of the premises by vendor and shall defend at vendor’s own expense any action brought against the Piazza and any of the above mentioned organizations or any other person or organization with which the Spring Festival Event has a contractual relationship by vendor’s acts or omissions.
SIGNATURE: ______DATE: ______
THANK YOU FOR YOUR APPLICATION! We look forward to having you join us in celebration of
the season, friends, family and community!! If you have questions or need additional information,
please contact: Cheryl Scheuerman
Piazza Renton Treasurer
Phone: 206-999-1733
Email: