AURORA/RICHLAND TOWNSHIP CHAMBER OF COMMERCE Fossil Festival Committee Aurora, NC 27806 FOOD VENDORS ONLY VENDOR NAME: _______________________________________________ CONTACT PERSON: _____________________________________________ MAILING ADDRESS: _____________________________________________ PHONE: (____) _________________ Email: __________________________ LIST ALL FOODS TO BE SOLD (This is required): ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ PLAN TO BRING YOUR OWN GENERATOR IF YOU NEED ELECTRICITY. FEE (PER UNIT): COMMERCIAL VENDORS LOCAL, NON PROFIT VENDORS _____ $100.00 _____ $ 50.00 SUBTOTAL x NUMBER OF UNITS ____________ ____________ TOTAL FEE ENCLOSED ____________ **If the application is not complete with all required information it will not be accepted** Date Rec: ______________ Vendor #:________________ Amount Rec: ____________ ___ Cashier’s Check Hold Harmless Agreement ___yes ___no ___ Money Order ___ Cash Please mail forms and payment to: Fossil Festival c/o Bridgett Bonner 2173 Herring Run Rd Blounts Creek, NC 27814 bridgett73@live.com 252-670-1832 AURORA/RICHLAND TOWNSHIP CHAMBER OF COMMERCE Fossil Festival Committee Aurora, NC 27806 HOLD HARMLESS AGREEMENT I, ______________________________________, a vendor at the Fossil Festival in Aurora, NC certify that I do not have an event insurance certificate. I agree to hold the Aurora/Richland Township Chamber of Commerce, the Town of Aurora and the Fossil Festival Committee harmless for any injury or loss to any person or goods for any cause whatsoever. I also agree that the stated organizations cannot be held responsible for any claims for damage, injury or loss arising out of or in connection with the use of the space or grounds in the Fossil Festival. I affixed my hand on the _____________ day of ____________, 2015. (Date) (Month) ____________________________________________________________ Signature of Responsible Party ____________________________________________________________ Printed Name of Responsible Party ____________________________________________________________ Witness Signature ____________________________________________________________ Printed Name of Witness