29th Annual Urbana Sweetcorn Festival

29^th Annual Sweetcorn Festival 2004

Vendor Application

Saturday, August 28, 2004 - 11:00am – 11:00pm

Set - up at 8:00am

Please print or type all information on this form with the exception of “signature”

Contact Name: _____________________________Vendor Name: _______________________________

Social Security # or FEIN (required for all vendors selling product): ______________________________

Contact Phone Number: _______________________ Contact Fax Number: ________________________

Email Address: ________________________________________________________________________

Street Address: ________________________________________________________________________

City: ______________________________________________ State: __________ Zip Code: __________

Booth (11X11 space)

___ Number of Non-profit booths @ $50.00ea. = ______

___ Number of Information booths @ $100.00ea. = ______

___ Number of Arts & Crafts booths @ $100.00ea. = ______

___ Number of Food booths @ $100.00ea. = ______

___ Number of Merchandise booths @ $200.00ea. = ______

Extra Features

___ Festival Kick-Off Party ~see Rules and Terms for prices and information~ = ______

~Quantity of 110V electrical outlets required price is the same regard less of need~

Electricity: $20.00 = ______

Water: $15.00 = ______

Late Fee: $25.00 = ______

Total Charges ~Make Checks payable to Urbana Business Association~ = ______

I, (print/type name of company or organization) _____________________________ (herein called “Vendor”) on this _______ day of this month of _______________, in this year of 2004, acknowledge that the Sweetcorn Festival Rules (herein called “Rules”) have been received, read and fully understood. Said Vendor agrees to abide by the stated Rules and Vendor understands that failure to comply with Rules can result in refusal of Vendor Application or expulsion from the Sweetcorn Festival.

Vendor Contact Signature: ____________________________________ Date: _____________________

NOTE: Your Application will not be approved without completion of the reverse side of this form.

The Urbana Business Association sponsors the Sweetcorn Festival

111 W. Main Street

Urbana, IL 61801

p. (217) 344-3872 f. (217) 344-8224

sweetcornfest@hotmail.com

Vendor Application

Saturday, August 28, 2004 - 11:00am – 11:00pm - Set - up at 8:00am

Please List the Products you will be selling or information you will be offering:

1. ______________________________________________________ Price: _____________________

2. ______________________________________________________ Price: _____________________

3. ______________________________________________________ Price: _____________________

4. ______________________________________________________ Price: _____________________

5. ______________________________________________________ Price: _____________________

6. ______________________________________________________ Price: _____________________

7. ______________________________________________________ Price: _____________________

8. ______________________________________________________ Price: _____________________

9. ______________________________________________________ Price: _____________________

10. ______________________________________________________ Price: _____________________

Please list the appliance and the AMPS required that you would be using, as well as water needs. (Failure to provide correct information will delay and/or prohibit your set-up. No additional power will be available on the day of the Festival.)

1. _________________________AMPS Required: __________________ Water Needs: ___________

2. _________________________AMPS Required: __________________ Water Needs: ___________

3. _________________________AMPS Required: __________________ Water Needs: ___________

4. _________________________AMPS Required: __________________ Water Needs: ___________

5. _________________________AMPS Required: __________________ Water Needs: ___________

Please review the Rules and terms of Agreement and list any special needs and consideration(s) you require. If you are a NEW VENDOR, you are required to supply a picture of your set-up.

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For office use only:

Date completed application received: ______________         Space Number(s) assigned: ___________________

                                  Check Number: ______________            Quantity of Tickets Sold: ___________________

                                             Amount: _______________    Amount of Vendor Payment: ___________________