BURIEN FLEA MARKET FLEA PUGET SOUND PARK - … · FLEA MARKET VENDOR APPLICATION PUGET SOUND PARK -...
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FLEA MARKET VENDOR APPLICATION PUGET SOUND PARK - Swap Meet SW 128th and 1st Ave S - June 3 - 6th, 2018 T H U R S D A Y - 4PM TO 9 PM F R I D A Y - 4PM TO 9 PM S A T U R D A Y - 4PM TO 9 PM S U N D A Y - 4PM TO 9 PM CONTACT NAME: UBI# or SSI # BUSINESS NAME: ADDRESS: CITY: STATE: ZIP: PHONE: FAX: E-MAIL: DESCRIBE IN DETAIL WHAT YOU WILL BE PUTTING ON DISPLAY: 10’ X 10’ SPACE / Limited Vehicle Space MARK DAYS BELOW YOU WISH TO PARTICIPATE NOTE: Your start time can be anytime during the 4 pm to 9 pm THURSDAY: Early Bird $20 each (recieved before June 1) $25 (reveived after Juen 1) FRIDAY: Early Bird $20 each (recieved before June 1) $25 (reveived after Juen 1) SATURDAY: Early Bird $25 each (recieved before June 1) $30 (reveived after Juen 1) SUNDAY: Early Bird $25 each (recieved before June 1) $30 (reveived after Juen 1) CHECKS SHOULD BE MADE PAYABLE TO Discover Burien, 909 SW 151st Street, Burien, WA 98166 TOTAL DUE $_________ All vendors must have proper business license, insurance and health permits as required by law, and provide them upon request. HOLD HARMLESS AGREEMENT I have read the attached rules and regulations and agree to abide by them. Additionally, as a Vendor, I agree to hold harmless the Discover Burien, their elected and appointed officials and representatives or employees, and I agree to indemnify them from and against all claims, demands and causes of action of any kind or character, including but not limited to, cost of defense arising in favor of and the Discover Burien, their employees or third parties on account of any personal injuries, deaths, or damages to persons or property arising from the use of the premises occupied by me, as Vendor, during my occupancy thererof. Signature______________________________ Print Name:___________________________Date:__________ Site layouts, load in directions and maps will be e-mailed out 5 days prior to event MUST INCLUDE A SIGNED: Discover Burien, Release and Waiver of All Liability and Assumption of Risk Agreement. WHICH IS INCLUDED IN THE BACK OF THIS PACKET Check Payable to: Discover Burien Send payment and application to: Discover Burien, Attn: Debra George: 909 SW 151st Street, Burien Wa 98166 For information call: Debra George, Event Manager (206) 941-7199 or [email protected] No Refunds will be given Applications need to be turned in By May 25th, 2018 427 SW 152nd Street Burien, WA 98166 Debra George (206) 941-7199 BURIEN FLEA MARKET part of carnival days
Transcript of BURIEN FLEA MARKET FLEA PUGET SOUND PARK - … · FLEA MARKET VENDOR APPLICATION PUGET SOUND PARK -...
FLEA MARKET VENDOR APPLICATIONPUGET SOUND PARK - Swap Meet
SW 128th and 1st Ave S - June 3 - 6th, 2018T H U R S D A Y - 4PM TO 9 PMF R I D A Y - 4PM TO 9 PM
S A T U R D A Y - 4PM TO 9 PMS U N D A Y - 4PM TO 9 PM
CONTACT NAME: UBI# or SSI #
BUSINESS NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE: FAX: E-MAIL:
DESCRIBE IN DETAIL WHAT YOU WILL BE PUTTING ON DISPLAY:
10’ X 10’ SPACE / Limited Vehicle Space MARK DAYS BELOW YOU WISH TO PARTICIPATE NOTE: Your start time can be anytime during the 4 pm to 9 pm
THURSDAY: Early Bird $20 each (recieved before June 1) $25 (reveived after Juen 1)
FRIDAY: Early Bird $20 each (recieved before June 1) $25 (reveived after Juen 1)
SATURDAY: Early Bird $25 each (recieved before June 1) $30 (reveived after Juen 1)
SUNDAY: Early Bird $25 each (recieved before June 1) $30 (reveived after Juen 1)
CHECKS SHOULD BE MADE PAYABLE TODiscover Burien, 909 SW 151st Street, Burien, WA 98166 TOTAL DUE $_________
All vendors must have proper business license, insurance and health permits as required by law, and provide them upon request.HOLD HARMLESS AGREEMENT
I have read the attached rules and regulations and agree to abide by them. Additionally, as a Vendor, I agree to hold harmless the Discover Burien, their elected and appointed officialsand representatives or employees, and I agree to indemnify them from and against all claims, demands and causes of action of any kind or character, including but not limited to, cost ofdefense arising in favor of and the Discover Burien, their employees or third parties on account of any personal injuries, deaths, or damages to persons or property arising from the use
of the premises occupied by me, as Vendor, during my occupancy thererof.
Signature______________________________ Print Name:___________________________Date:__________Site layouts, load in directions and maps will be e-mailed out 5 days prior to event
MUST INCLUDE A SIGNED: Discover Burien, Release and Waiver of All Liability and Assumption of Risk Agreement. WHICH IS INCLUDED IN THE BACK OF THIS PACKET
Check Payable to: Discover BurienSend payment and application to: Discover Burien, Attn: Debra George: 909 SW 151st Street, Burien Wa 98166
For information call: Debra George, Event Manager (206) 941-7199 or [email protected]
No Refunds will be given
Applications need to be turned in By May 25th, 2018
427 SW 152nd StreetBurien, WA 98166
Debra George(206) 941-7199
BURIENFLEA
MARKETpart of carnival days
