PO BOX 33 Food Vendor______ Children’s Area_____ Arts/ Crafts Vendor____ Phone/fax 205-364-7870
Gordo AL 35466
www.gordochamber.com

Vendor Name _____________________________________________
Address _________________________________________________
City __________________________ State ______ Zip ____________
Phone ___________________________________________________
Email ___________________________________________________
Description of Products of Service ____________________________
_________________________________________________________
Insurance Company Name ___________________________________
Phone _______________________ Agent Name _________________
Policy Number ______________________ Expiration Date ________

Remember: Proof of Insurance must accompany application (food and children’s vendors) or your application will NOT be accepted. Gordo Chamber of Commerce must be listed as the certificate holder.

I understand that the GACoC is not liable for injuries to my workers or me to the loss or damage of my equipment or supplies. I hereby assume all normal risk associated with operations at a street festival and parade. I understand the GACoC reserves the right to deny any unsuitable merchandise to be sold at the event.

Although care will be taken to prevent any hazards the GACoC will not be responsible for loss or damage of any kind by any cause. NO REFUNDS due to inclement weather.

Absolutely no dumping of garbage, grease, or waste of any type on the premises. All water, grease, leftovers, etc. must be put in the tallow container. Your space must be inspected and passed by Chamber of

Deadline for Applications May 15th 2010

Food Vendor
_________ (12x12) spaces @ $150.00 = ________________*
Ice ($15.00 for 40 lb bag $7.00 for 20lb bag) _____________*
Churches & Civic Organizations @$75.00____________*
Children’s Vendor
Kids Games­­­­ ­­­­­­­­­­­­­________12x12) space @ $75.00 = __________ *
Arts and Crafts
__________ (12x12) space @ $75.00 = _________________*

Miscellaneous Information
Water (please circle) yes no

Electricity: 110 volts 220 volts
______ # of hook ups @ $20.00 each = ___________*
TOTAL (add all * )________________

EXHIBITOR Signature____________________________
Date____________________________________________________