Exhibitor & Merch Vendor Application July 9-12, 2015 Sunnyview Expo & Fair Grounds Name: Business: Address: City/State/Zip: Business Phone: Cell Phone: E-mail: Website: Deposit/Fee Merch Exhibitor Exhibitor Only Commission $750 $500 Camping Primitive Camping Electric-20amp Electric-30amp $60 $210 $270 Food and Merchandise Vendors must pay an additional 25% commission on adjusted gross sales after $3000. Tickets – You will receive 2 Full Event or 6 One day tickets with your booth, please select your preference Circle One: 2 Full Event 6 One Day Electricity Marketplace #____ Additional Tickets (for booth workers only) Full Event #______ $40 One Day #______ $20 $35 This is per number of outlet pairs, limit 2 outlet pairs and 20 amps. Miscellaneous Fees Additional Tables #____ $10 Wireless Internet Access $20 Each booth will already have 1-8’ table and 2 chairs Total Due Payment Options: Check/Money Order Credit Card (Circle) Visa Mastercard Discover Card Number:__________________________________ Name on Card:_________________________________ Signature:_____________________________________ Exp Date:_________________Security Code:_________ $_____________ Mail to: Life Promotions 4 N Systems Dr. Ste C Appleton, WI 54914 Fax to: (920)521-1434 I have thoroughly read the enclosed Lifest 2015 Vendor/Exhibitor Policies and understand the guidelines are part of this agreement I have listed the items and services to be sold and/or promoted on the bottom of this page I understand that I need to send a proof of insurance by 5/23/2015 with Life Promotions listed as additional insured I understand that locations are reserved on a first-come-first-serve basis and that BOTH the completed application and payment are needed to ensure my reservation The applicant and individual agrees that all our personal property, supplies, equipment, and merchandise in or around our exhibition/vendor booth area shall be at our sole risk and hazard of our operation. As a booth operator, we agree to indemnify and hold harmless, Life Promotions, Inc., and Lifest, from any and all liability, damage, expenses of any kind, cause of action, suits, claims or judgments arising from injury to persons or property within and on the site of Lifest, which arises out of any act, or failure to act, or any alleged negligence of the booth operator, its guests, employees, staff, volunteers or customers. Life Promotions Inc, and Lifest require proof of the following Insurance Coverage & Limits, from each applicant prior to admission to Lifest gounds. A Certificate of your Liability Insurance will be required. Commercial General Liability: $1,000,000 Each Occurrence Limit $2,000,000 General Aggregate Limit – “Per Project” $1,000,000 Products-Completed Operations Aggregate Limit I hereby accept these terms and conditions, and assume full responsibility for our booth, property & operations. Further, I will fully comply with all points mentioned both in the above and the guidelines set forth by Life Promotions Inc., and Lifest, for booth operation, and do hereby apply for a booth(s) at Lifest. Authorized Signature Date ***Once your completed application and payment has been received, an e-mail or letter will be sent to confirm your status. Life Promotions reserves the right to refuse any application. If you have questions, please contact Carla Frieders at cfrieders@lifepromotions.com or at (800) 955-5433. Items to be sold or distributed and prices: Electrical-list total amps/volts needed:
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