GSBMF LLC.

NON - PROFIT APPLICATION & AGREEMENT

_____________________________________________________________________________________

The Great South Bay Music Festival is Proud to Sponsor a select few Not - for - Profit vendors.

DATE: Fri, Sat, Sun., July 14, 15 & 16, 2017

PLACE: Shorefront Park, Patchogue, NY (Located on the Water Front)

Organization: __________________________________________________________________

Contact: __________________________________________________________________

Address: __________________________________________________________________

City, State, Zip: _________________________________________________________________

Phone: ( ) ________________________________ Fax: ( ) ___________________________

Email: ____________________________________ Sales Tax or Resale #: ________________

Description of Organization, Cause, And Use For Booth: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Do You Own a Tent: ___________ Size: ___________ (10' X 10' is maximum space provided)

I agree to all terms and conditions set forth by the GSBMF, and I release the GSBMF, LLC., and the Village of Patchogue, from all liability and responsibility for any loss, theft, damage, or bodily injury, before, during or after the festival.

GSBMF LLC., reserves the right to refuse any application and will fully refund all monies paid in the event of refusal.

Please attach to your application confirmation of 501 (c) (3) status.

Signature: ________________________________________________ Date: ______________

Print Name: ___________________________________________________________________

Mail to:

GSBMF, LLC.

P. O. BOX 346

PORT JEFFERSON NY 11777

If accepted, you will receive a confirmation letter within one week of receipt.