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Application Form to Participate at Pioneer Swap Meet, June 18, 19, 2011 at Pioneer Park in Ferndale, WA. Name: Address: Phone:

Cell phone:

Email:

(Confirmation of receipt of application will be made by Email or Phone)

Nature of business/merchandise sold: New  Used  Camping? Yes  No  RV: Length / Type

N/A 

(RV’s over 24’ will be staged outside of park fence)

Type / Length of Other Vehicle _______________ Included in Stall Size Yes  No  Business Liability Insurer Name / Address: Policy #

Agency Phone No:

Group or Association Name if applicable:

Non-Profit?

Yes

No

Site sizes available as shown below (select one) Inside Tillicum Building (heated and securely locked up at night, One 6’ Table and chairs supplied). 8’ x 6’ Stall $50  6’ table only $30  10 ‘ x 10’ Stall Outside $35  Inside Barr Barn(no heat) 9‘ x 6’ Stall $45 10’ x 20’ Stall Outside $45  10’ x 30’ Stall Outside $55 

Electrical power is extremely limited and is an additional $15.00 per booth for the weekend. We will try to accommodate as many requests as possible. Food vendors have priority access to power. $15 

Total Fee Enclosed: $ All reservation applications must be accompanied by payment in full. Reservations forms will be accepted until June 1, 2011. After that date, reservations are by permission of the swap meet committee only. An additional fee of $15.00 per stall will be charged for late applications. Payment by check, US Postal money order, or cash only. THIS REQUEST TO RESERVE VENDOR SPACE CONSTITUTES AN EXPRESSED CONTRACTUAL AGREEMENT THAT I AGREE TO ALL RULES AND CONDITIONS OF THE 2011 PIONEER SWAP MEET AND THAT I HEREBY RELEASE THE CITY OF FERNDALE, WASHINGTON AND THE PIONEER SWAP MEET, ITS SPONSORING CLUBS, COMMITTEES, AND MEMBERS FROM ANY AND ALL LIABILITY CONCERNING LOSS OF PERSONAL PROPERTY AND/OR PERSONAL INJURY THAT MIGHT OCCUR EITHER DIRECTLY OR INDIRECTLY FROM MY ATTENDING THE MEET. I ALSO AGREE TO BE RESPONSIBLE FOR MY OWN TAX LIABILITY AND PROVIDE THE PROPER RESALE AND FOOD VENDOR PERMITS. MUST BE SIGNED!! SIGNATURE _______________________________________ DATE __________ Please mail application and payment to: Ferndale Heritage Society, Attn: Swap Meet Coordinator, P.O. Box 3127, Ferndale, WA 98248 Questions: Call Gail Nelson at 360-671-3377

Vendor Application  

Vendor Application

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