VENDOR APPLICATION
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DALY CITY-QUEZON CITY SISTER CITY COMMITTEE
14th ANNUAL FIL-AM FESTIVAL
BOOTH APPLICATION 2008
Serramonte Shopping Center Mall
Event Date: Saturday & Sunday, June 28 - 29 2008
Application Due Date: June 23, 2008
Name of Business/Organization___________________________________________________________
Name of Contact: __________________________________________
Address: ________________________________________________
City: _____________________State: _____ Zip Code: ____________
Email: ____________________________________________________
If Non-profit, please include you Taxpayer Identification Number (TIN)_____________________________
If Non –profit, please specify activity ________________________________________________________
Please list merchandise (if selling)
PRICE of Merchandise
___________________________
________________________
___________________________
________________________
Fees:
Amount: Sub Total
10’x10’ Food Booth (includes booth, 1 table and 2 chairs)@ $750 (Now closed)
San Mateo County Health Permit Fee (early submission) @ $75.00
10’x10’ Commercial Booth ONLY
EX: Banks, Telecommunications, Cargo Company etc @ $350.00
10’x10’ Arts & Crafts Booth ONLY
EX: Clothing company, Souvenirs and Gifts etc @ $250.00
10’x10’ Non-profit Booth ONLY
EX: Church, Chambers, Associations @ $150.00
NO Tables and Chairs will be provided at your booth
8 ft rectangular table @ $20.00
1 folding chair @ 2.00
Power: 120 volt, 20 Amps (1 plug to distro box) @ $40.00
TOTAL:
NOTE:
1. ALL APPLICANTS NEED TO SIGN INDEMNITY SHEET (See backside of Application)
2. ALL APPLICANTS ARE RESPONSIBLE FOR CLEANUP OF THEIR AREA AT CLOSE OF FESTIVAL
3. FAILURE TO LEAVE AREA CLEAN WILL RESULT IN A $250 CLEANING FINE
4. PAYMENT MUST BE SUBMITTED WITH APPLICATION
This agreement is subject to acceptance by the Fil-Am Friendship Celebration Committee. Exhibitors/Vendors must return this application signed and dated by authorized personnel. (Be sure to sign Indemnification on backside.) Failure to completely sign application will result in automatic rejection of exhibition/vending space.
MAKE CHECK PAYABLE TO:
Date R’cvd:_________ DC/QC Sister City Committee, Inc.
Amount:____________ Attention: Lenelle Suliguin
Booth No.:___________ City of Daly City
Insurance Cert. R’cvd:___ 333 - 90th Street, Daly City, CA 94015
INFORMATION
Prime Image Media Group:
Roselyn Domondon: Cell 510 872 9099 or roselynn@prime-image.com
May Briosos: Cell: 415.336.7808 or mbriosos@prime-image.com Fax:888 532 6197
______________________________
Authorized Signature Date
Cell: __________________________
Phone: ________________________
Fax: __________________________
DALY CITY-QUEZON CITY SISTER CITY COMMITTEE
14th ANNUAL FIL-AM FESTIVAL
BOOTH APPLICATION 2008
Serramonte Shopping Center Mall
Event Date: Saturday & Sunday, June 28 - 29 2008
Application Due Date: June 23, 2008
INDEMNIFICATION AND HOLD HARMLESS
The undersigned, as a participant in the 14 th Annual Fil – Am Festival and Daly City –Quezon City Sister City committee agrees to indemnify and hold 14 th Annual Fil – Am Festival and Daly city –Quezon City Sister City Committee, Prime Image Media Group and Serramonte Shopping Center Mall any and all agents and employees of these entities, free and harmless from any and all claims, liability, loss, damage, or expenses resulting from the undersigned’s participation in the 14th Annual Fil Am Festival and the undersigned’s use and occupation of any facilities provided as a result of the undersigned’s participation, specifically including, without limitation, any claim, liability, loss, or damage arising by reason of:
A. The death or injury of any person or persons, including the undersigned or any person who is an employee or agent of the undersigned, or by reason of the damage to or destruction of any property including property owned by the undersigned or any person who is an employee or agent of the undersigned, and caused or allegedly caused by some act or omission of the undersigned or of an agent, contractor, employee, servant, sub lessee, or concessionaire of the undersigned; or
B. The undersigned’s failure perform any provision of the agreement for participation in the 14th Annual Fil – Am Festival or to comply with any requirement of law or any requirement imposed on authorized governmental agency or political subdivision.
Date
Name of Business/Organization (Please Print)
Signature/Title
Please Print Name of Signer
Booth Number: