Morton Loggers' Jubilee Concessions
August 6, 7, 8,& 9,2009
CONCESSION SPACE APPLICATION
PLEASE PRINT

NAME OF CONCESSION ____________________________________________

ADDRESS __________________________________________________________

PHONE (day)________________________ (eve) __________________________          

PRODUCTS FOR SALE ______________________________________________________________________
*Please Tell Us Your MAIN Products                               *Food Vendors Please send Complete Menu of Items Offered
SPACE NEEDED :
(25 foot MINIMUM ~~ 75 foot MAXIMUM) (Must be in 5 foot extensions ~ ie. 25, 30, 35 etc.)

NUMBER OF FRONT FEET NEEDED x $4.00 = : $ ________________ ($100 Minimum)

ELECTRICITY : (If needed, add $15.00 per 20 amp outlet) $ ________________

TOTAL ENCLOSED : $ ________________

HOLD HARMLESS AGREEMENT

“ In consideration of my acceptance as a participant in the Loggers Jubilee, I agree to save employees and agents from any loss or damage to persons or property caused by my participation.  I further agree to defend said Association from any claims for such damage.”

 

Vendor Name:   PRINT     _______________________________________________________________


Vendor  Signature: _______________________________________________  Date: __________________________

                                           (Must Be 21 Years of Age)

MAKE CHECKS PAYABLE TO : MORTON LOGGERS' JUBILEE
 www.loggersjubilee.com
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 For Temporary Food Service Permit, Contact:
LEWIS COUNTY DISTRICT HEALTH DEPARTMENT / ENVIRONMENTAL HEALTH SECTION
P O BOX 706 ~ CHEHALIS, WA 98532 (360) 586-5846
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COMPLETE THIS FORM AND SEND TO: (along with your Proof Of Insurance and payment)
Morton Loggers' Jubilee
Lynda Nanney
P O BOX 8
MORTON , WA 98356
(If you have any special position requests we will  TRY  to accommodate them.)

SPACE # REQUESTS: First choice ____ Second Choice ____ Third Choice ____