Print & Mail or Fax Registration
980 Locey Creek Road
Middlebury Center, PA 16935
FAX: 570-218-0323
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:______________





