Charity Benevolent Fund P.O. Box 1014 Gray, GA 31032

Thank you for your interest in becoming a vendor. Proceeds from our events support our social advocacy programs to provide basic needs in our community., to educate home owners on preventing foreclosure, to promote health and wellness, and to end poverty. The 5K Run/Walk is rain or shine.

Company Name: ______

Company Contact: ______

Contact Phone(s): ______

Contact Email: ______

Contact Mailing Address:______

Website: ______

General description of products/services to be sold or promoted______

General description of products/samples to be given away to event attendees______

Will you be offering a door prize, raffle or other contest at your booth? Yes No

10 x 10 vendor booth (approximately one parking space) $200

10 x 20 vendor booth (approximately two parking spaces side by side) $250

Vendor Agreement: In consideration of Charity Benevolent Fund permitting me to participate in 5K Run/Walk, I hereby waive, release, and discharge for myself, my heirs, personal representatives, and assigns any and all rights, liability, causes of action and claims that may now or hereafter accrue to me or which I may now or hereafter assert against Charity Benevolent Fund, any of the sponsors of this event, or the officers, directors, employees, agents, successors, and assigns of any of them for personal injury and/or property damage that I or my property may suffer or sustain as a result of participation 5K Run/Walk event I hereby assume all risks of any such injury and damage. In addition, I accept that no vendor will be permitted to erect signs or display products in such a manner as to obstruct the view, or affect the displace,of other vendors. I accept that exhibits that are deemed unsuitable or objectionable may be adjusted or removed and understand that this restriction applies to noise, persons, conduct, printed matter, materials, or anything of a character that might be objectionable to attendees or be contrary on the mission and principles of Charity Benevolent Fund. I agree that my name and any photographs of me or my work and/or booth may be used for publicity purposes. I agree that I will not assign all or part of my space to any other person, firm or organization without the express permission of event management.

Please complete and submit this application, with payment, Please note that space is limited and restrictions may be placed on the types of merchandise and vendors permitted. If we are unable to approve your application you will be notified and your payment will be returned to you in a timely manner If your application is approved you will receive confirmation by mail or email. By submitting payment and application you acknowledge that no refunds will be issued for cancellation of booth space once approved and confirmed. Please send application and Payment to Charity Benevolent Fund Attention Larry Manuel P.O. Box 1014 Gray, GA 31032. Email: , Phone: (478) 986-4908. Website: Payment by Check made payable to Charity Benevolent Fund or Credit Card Online by “Clicking” on Donate Button. Send copy of Certificate of Insurance.