Print & Mail or Fax Registration

You can Register on-line by going HERE or you can print, fill out and mail or fax the form below to:
CJ Houghtaling, CVODF Coordinator 
980 Locey Creek Road
Middlebury Center, PA 16935

FAX: 570-218-0323
 
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CV OUTDOOR FEST
Exhibitor Registration Form

Saturday, September 8, 2012 
10 AM - 5 PM  (set-up 8 AM)
Rt. 49,  Just East of Westfield, PA.

Organization/Business Name:_____________________________________

Address:____________________________________________________

City, State, Zip:_______________________________________________

Telephone w/area code:_________________________________________

Email: ______________________________________________________

Contact Name:_______________________________________________

Exhibit/Product Type:__________________________________________

Special Needs:_______________________________________________

Would you like to do a demonstration, activity or lecture related to your  product/service?       YES       NO       (circle one)
              If yes, please provide details on a separate sheet.
 

PRICING - COMMERCIAL EXHIBITORS
Standard 10' x 10' space.
(fill in blanks for all that applies)

Non-Profit Organizations $5   _____
CV Joint Chamber Member $25   _____
Non-Member $35   _____
     Add $25 to Become CV Joint Chamber Member (1 full yr.) $25   _____
Limited Availability:    
     Electric - Add $10 $10   _____
     Space Under the Big Top - Add $15 $15   _____
 Total   $ _____

Exhibitors are responsible for supplying their own tables/chairs.

All Reserved Space must be paid in full Mail your check, along with a certificate of insurance/signed insurance waiver to:

CJ Houghtaling, Coordinator
CV Outdoors Festival
980 Locey Creek Rd.
Middlebury Center, PA 16935

For more info., please call CJ Houghtaling at 570-376-2821.

_____________________________________________________

 

CV OUTDOORS FESTIVAL INSURANCE WAIVER
RELEASE: PLEASE READ BEFORE SIGNING

Entry and Advertising Release:

In consideration of this entry, vendors agree to permit  Cowanesque Valley Outdoors Festival the use of their names and  pictures for publicity, advertising and commercial purposes (including newspapers,  magazines, brochures, posters, fliers, radio, television, and internet).

Operations:

All tents cannot encroach into the fire lane and must be secured to the  ground. Any guide wires or securing ropes should be made highly visible to insure  pedestrian and vehicle safety. The grounds surrounding and comprising the vendor  display area is to be left as it was found. Trash should be disposed of in receptacles provided.

Liability

In consideration of the acceptance of the right to participate, vendors,  participants, and spectators, by execution of this entry form, release and discharge,  Cowanesque Valley Outdoors Festival and anyone else connected with the management presenting the Festival, including their officers, directors, agents, representatives, volunteers, and land owner of and from any and all known damages, injuries, losses, judgments, and/or claims from any cause whatsoever that may be suffered by the Vendor,  his/her person or property.

Vendors are responsible for all applicable taxes. If for any reason a vendor’s appearance or conduct are deemed objectionable or detrimental to the event’s well being by event management, vendor will be subject to eviction from the premises.

By signing the appropriate space below, the Vendor acknowledges and understands that no insurance is available for coverage to the Vendor unless otherwise provided by private insurance obtained by the vendor.

I have read this document and agree to all terms as stated:

Vendor:_______________________________________

Signed:_____________________________________ Date:______________