Copy, Print and Complete
Greater Mexico Chamber of Commerce
Event: Mexico Point Park Concert & Fireworks
Date: July 8, 2018 Time: 1 to 9 pm
Location: 120 Mexico Point Dr. W, Mexico, NY
Application Due Date: June 29, 2018
Business Name: __________________________________________________ Type: ______________________________
Full Address __________________________________________
Phone: ________________ Email:_________________________________________
Contact Name: ______________________ NYS Tax ID: ________
Health Permit Number (if applicable):____________________________________
Site Fees: Space to be occupied by one business only.
___ Single Space $30
___ Double Space $50
___ Non Profit/School Group $15
___ Chamber Member $10 discount
___ Electrical (single 110v) $10
TOTAL ENCLOSED $ __________
~Tables and chairs are not provided.
~You must supply your own power cord if needed.
~Retail vendors MUST have cash and carry items to retail at the event.
~Committee will mark and designate all vendor placements.
Items to be sold: __________________________________________________________________
Electric: List all equipment required to operate booth___________________________________
~Vendors must supply own table/chairs.
~Set-up is from 10 am to 12:00 pm, takedown must be after 9pm unless otherwise agreed upon.
~Questions? Call Ann at 315-963-3622 or 315-753-1474 (texts welcome)
Checks/money orders made payable to Greater Mexico Chamber of Commerce. Fees are not transferable or refundable. It is important that you read and fill in this form carefully and send to The Greater Mexico Chamber of Commerce, P O Box 158, Mexico, and NY 13114. If your paperwork goes elsewhere, your acceptance will be delayed. I have read the rules and regulations. I understand that any decision of the Event Committee is final and that any violation or hazard to the public will be cause for immediate revocation of my permit(s) and I agree to abide by the same. I agree to defend, hold harmless and indemnify the Greater Mexico Chamber of Commerce, Mexico Point Park and the Town of Mexico for any lawsuits, claims or other action that arise from my conduct. Acceptance of this application is solely at the discretion of the Greater Mexico Chamber of Commerce Event Committee.
Vendor Signature __________________________ Date: __________________
All vendor fees must be paid and necessary paperwork received prior to attending.
The Greater Mexico Chamber of Commerce, P O Box 158, Mexico, and NY 13114
Total Enclosed: $___________