Blues, Brews, & Barbecues

CUMULUS JOB FAIR

Tuesday, October 06, 20154-7pm

Destiny USA-3rd Level

VENDOR BOOTH APPLICATION

$100 (Booth Fee)

Please return completed vendor form along with payment by to Cumulus Syracuse. Forms of payment accepted are checks made out to Cumulus Syracuse or MasterCard/Visa.NO CASH ACCEPTED.

Vendors will be accepted on a first come first serve basis until booth space is sold out.

PLEASE SEND FILLED OUT PAPERWORK AND PAYMENT TO THE ATTENTION OF

JANICE COLE. E-mail to . Fax to 315-478-5625. Or mail or drop off in person to Cumulus Radio 1064 James Street, Syracuse, NY 13203.

Full Name: ______

Contact Person: ______

Address: ______

Phone: Business ( ) ______Home ( ) ______Fax: ( ) ______

E-Mail: ______

New YorkState Sales Tax Number (if applicable):______

Explain in detail what you will be recruiting for: ______

______

You will be provided with a 6 footskirted table and 2 chairs. You may bring additional tables and set ups as long as they fit into your allotted space.

*YOU MUST PROVIDE ALL OTHER TABLES,CHAIRS, BACKDROPS, ETC. FOR YOUR AREA. All ITEMS MUST STAY IN THE ALLOTTED AREA DESIGNATED FOR YOU.

______/______/______/______/_____

Client Date Cumulus Media Syracuse Date

All programs are subject to availability and final approval by the Cumulus Syracuse.

The information and concepts set forth in this presentation are proprietary.

Their use is contingent upon a written agreement between Cumulus Syracuse and its client(s).

Likewise, they may not be copied, reproduced or otherwise divulged to any third party

without the express written permission of the CumulusSyracuse.

Cumulus Syracuse 1064 James Street, Syracuse, New York13203

315-472-0200 fax: 315-472-1146

INDEMNIFICATION AGREEMENT

Vendors/Exhibitors

The individual or entity named below (“Vendor”) hereby agrees that it will not hold liable ShoppingTown Mall NY LLC, Moonbeam Equities XI and radio station(s) WAQX, WNTQ, WSKO, WXTL Cumulus Media Inc., its subsidiaries, affiliates, members, directors, officers, employees and agents (the “Cumulus Parties”) for any loss, injury or damage to Vendor’s property or the Vendor’s employees, representatives or agents, due to fire, theft, accidents, or any cause whatsoever that may arise or occur in connection with Vendor’s participation in the “Syracuse’s Largest Indoor Garage Sale” event being held on September 26, 2015 at ShoppingTown Mall, Dewitt, NY (the “Event”).

Vendor hereby covenants and agrees to indemnify and hold the Cumulus Parties harmless from and against any and all claims, liabilities, losses and costs (including reasonable attorneys’ fees) arising from or in connection with Vendor’s participation in the Event (meaning, without limitation, Vendor’s acts and omissions or the acts or omissions of Vendor’s employees, affiliates or representatives) and any products and services provided by Vendor in connection with the Event.

Vendor:

Signed By:

Name, Title:

Date:

CREDIT CARD AUTORIZATION FORM

Station/Market: SYRACUSESalesperson:

Customer/Business Name and Acct # ______

Transaction Date: ______Transaction Amount: ______

Credit Card Type: Visa - Master - Discover – Amex

Expiration Date: ______

Card Number: ______(16 digits 15digits for Amex)

CVV2/CID Number: ______(3 digits or 4 digits for Amex)

Card Holder’s Name (as it appears on credit card):

Name: ______Phone:______Email:______

Card Holder’s Billing Address (as it appears on card holder’s credit card statement):

Street 1: ______

Street 2: ______

City: ______State:______Zip Code: ______

Purchasing Card Customers Only:

Customer or Accounting Code: ______

Customer Authorization and Signature

By signing this authorization, I authorize Cumulus to charge my credit card in the amount of the total shown above. If the company is unable to process my payment, I will be responsible for an alternate payment arrangement and any late fees which result.

By signing this authorization, I acknowledge that I have read and agree to all of the above and all information given is complete and accurate.

______

Cardholder’s Signature Title Date

Business Office Use Only:

______Approval/Declined Code