Chili Festival Vendor Form

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The Rotary Club of Homosassa Springs

9^th Annual Chili Fiesta & Music Festival

October 8^th & 9^th, 2010

Sertoma Tent • Crystal River Mall • US 19,Crystal River, FL

FOOD VENDOR APPLICATION FORM

Name _______________________________________________ Phone ____________________________

Address _______________________________________________________________________________

City ______________________________________________ State ________________________________

Canopy Size ______________________________

Food vendors for this year's event may participate but may not serve, sell or give away the following items:

• Hamburgers
• Hot dogs
• Chicken breast sandwiches
• Chili or chili dogs/ hamburgers
• Sodas, water, beer or wine

Please describe the food/foods you intend to sell: ____________________________________________________________________________________________________________________________________________________________________________________

The club reserves the right to exclude vendors to limit duplication of foods offered by other vendors.

Cost is $200.00 for the weekend.

Please enclose a $50.00 non-refundable registration fee, which will be applied to your space "rental".  Registration deadline is September 30, 2010.

For additional information, please contact Marybeth Nayfield at 352-795-7297

Please make checks payable to:

The Rotary Club of Homosassa Springs

PO Box 2029

Homosassa, FL  34447-2029

Exhibitors are responsible for Florida Sales Tax (6%), booth display (set-up and take down), protection from sun, rain, wind and suitable behavior for a family event.

I HEREBY ACKNOWLEDGE AND UNDERSTAND THAT THE ROTARY CLUB OF HOMOSASSA SPRINGS OR ANYONE ELSE ASSOCIATED WITH THE FESTIVAL CANNOT BE HELD RESPONSIBLE FOR ANY LOSS OR DAMAGE TO MY WORK OR PERSONAL INJURY TO MYSELF OR ANYONE ACCOMPANYING ME TO THE FESTIVAL.

Signed ______________________________________ Date _____________________________