Williams Station Vendor Info
FOOD VENDOR APPLICATION
WILLIAMS STATION DAY (19th Annual)
Saturday, October 23, 2010
9 am - 5 pm

 

Vendor Name:_______________________________________________________________________

 

Contact Person:_____________________________________________________________________

 

Mailing Address:_____________________________________________________________________

 

Telephone/Cell:______________________________________________________________________

 

Email: ______________________________________ Website: ______________________________

 

SPACES:    Each space is approximately 14' x 14'.   Power will be furnished.

                     Space Fee:  $250 – Commercial Food Vendor                  

                                   $150 – Non-Profit Organization or Atmore Chamber Member

                                               

List all the foods you wish to offer: _________________________________________________

 

___________________________________________________________________________

 

All menu prices must be visibly posted.                  How many people can you serve___________

 

ELECTRICAL REQUIREMENTS:

# of outlets required: 110 volts: ____   220 volts: ____   Estimate of wattage required: Amps: _____

Units should be self-contained.  Water will be provided to fill holding tanks.               

(Extension cords and water hoses are not provided)

 

ATTENTION ALL VENDORS:  Pepsi Cola has an exclusive on all carbonated drink sales. You must sell
 PEPSI products.  Pepsi will have a truck on site for your convenience.

 

 

INDEMNIFICATION AGREEMENT

 

I, ____________________________, am authorized by my club or organization, ________________________, to execute this agreement to bind all persons who are officers, employees, agents, servants, or volunteers for said club or organization, and do hereby, on behalf of said club or organization, agree to release, indemnify, and hold harmless the Atmore Area Chamber of Commerce and all of their agents, servants, employees or members, from any and all liability to me, my club or organization, or any employee, officer, agent, servant or volunteer for said club or organization on account of or in any way arising out of personal injury or property damage incurred in connection with or related to Williams Station Day 2010.

 

________________________________________________________________

Name of your business, club or organization

 

BY:_____________________________________________________________                     DATE:____________________

 

ITS:____________________________________________________________

 

Include a check or money order made payable to the Atmore Area Chamber of Commerce with the completed application and proof of insurance.  Mail to:  501 South Pensacola Avenue, Suite A, Atmore AL  36502.  Questions?  please call the Atmore Area Chamber of Commerce 251.368.3305.   

 

If you have questions for the Escambia County Public Health Environmentalist, please call 251.368.9188.  As coordinators of Williams Station Day, the Atmore Area Chamber of Commerce reserves the right to accept or deny vendor applications.  No refunds will be made for cancellation, removal for cause, or acts of God.