Sustainable Sammamish at the Market
Wednesday, August 5, 2015 4 – 8PM
At the Sammamish Commons - 801 228th Ave SE Sammamish 98075
Exhibitor Application & Contract
Email completed form to Deb Sogge at info@sammamishchamber.org OR Fax to 866.868.6773
You may mail to the Sammamish Chamber of Commerce to 704 228th Ave NE, #123, Sammamish 98074
YOU ARE:
☐ Non-Profit Organization
☐ Government or Public Organization
☐ Private Retailer
☐ Other (Please describe below, under “Description and Purpose of Organization”)
PARTICIPANT INFORMATION
Last Name Click here to enter text.
Organization or Company Name
First Name Click here to enter text.
Click here to enter text.
Organization/ Company Location Address:
City Click here to enter text.
State Click here to enter text.
Zip Click here to enter text.
Mailing Address Click here to enter text.
Daytime Phone Click here to enter text. Evening Click here to enter text.
Email Address
Click here to enter text.
Cell Click here to enter text.
Do you check email often? Choose an item.
DESCRIPTION AND PURPOSE OF ORGANIZATION (e.g., “Promote use of energy-efficient products”; or “encourage
recycling”)
Click here to enter text.
INFORMATION TO BE DISTRIBUTED List all informational pamphlets/brochures to be distributed at the SS event. Will
you have any character or demonstration at your booth?
Click here to enter text.
FREE GOODS TO BE DISTRIBUTED: Please describe and list any goods or promotional items to be distributed to the
public during the Sustainable Sammamish Event. NO SALES ALLOWED.
Click here to enter text.
SPACE REQUIREMENTS: In general, all participants will use a 6 foot long table to be provided by the City of Sammamish
for the duration of the event. Describe any additional needs.
Electrical Requirements? Choose an item.
If yes, please describe Click here to enter text.
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SPONSORSHIP OPPORTUNITIES:
Sponsors will receive the following recognition:
$1,000 Sponsor
Name and logo at www.sammamishfarmersmarket.org through February 2015, promoting you as our Sustainable
Sponsor. Name and logo listed on all advertising and promotional materials as sponsor. Sustainability Information
included in market bags which be handed out at the event. Sponsor identified prominently on a poster at the event.
Your brochures added to our Market Info Booth for remainder of the season.
$500 Sponsor
Name and logo listed on all advertising and promotional materials as sponsor, and www.sammamishfarmersmarket.org
through October, 2015. Sustainability Information included in market bags which will be handed out at the event.
Sponsor identified prominently on poster at event.
$100 Supporting Sponsor
Name and logo listed on hand-out and poster at event and at www.sammamishfarmersmarket.org throughout season.
$50 Sustaining Sponsor
Name and logo on handout and poster at event.
Payment by check:
☐ Check is included, made out to the Sammamish Chamber of Commerce.
Send to Sammamish Chamber of Commerce at 704 228th Ave NE, #123, Sammamish 98074.
Payment by credit card:
☐ Please charge my Visa or MasterCard:
# Click here to enter text.
Name on Card Click here to enter text.
Expiration Date Click here to enter text. Sec. Code Click here to enter text. Amount Click here to enter text.
HOLD HARMLESS AGREEMENT Participant will distribute only what is listed on this application. Participant is responsible for the
quality and safety of what is distributed and is encouraged to obtain liability insurance for any products distributed. Participant shall
indemnify, keep and save harmless the Sammamish Farmers Market and all agencies the SFM has agreements with including the
Sammamish Chamber of Commerce and the City of Sammamish from and against any and all claims and demands, whether for
injuries to persons, or loss of life or damage to property, on or off the premises, arising out of the use of occupancy of the premises
by participant and shall defend at participant’s own expense any action brought against the Sammamish Farmers Market and any of
the above mentioned organizations or any other person or organization with which SFM has a contractual relationship by
participant’s acts or omissions.
Participant Signature Click here to enter text. Date Click here to enter text.
NOTE: Parking is off-site at Mary Queen of Peace Church. A load-unload zone will be available at the front of the City
Hall and Market.
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