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2 0 2 1 P a h r u m p F all F esti v al V endor Appl ic at ion Co mpl et ion Sheet : Pl ease m ak e su re al l ne cess ary st eps for your booth are completed by the event Deadlines. Deadl ine f or su bmissio n of appl icat ion al ong w it h payment an d insu rance are August 31, 2021. N o l at e appl i cat i o ns wil l be ac cept ed . Regarding boot h spa ce, you may g iv e a r equ est, bu t no spaces w il l b e gu arant eed f or anyone, and al l spot s are f inal ize d bef ore t he ev ent . Also please include ANY and ALL requests with your application. For al l f ood v endors, w e w il l need proof of you r t emporary heal t h permit f or t he ev ent bef ore y o u c a n c h e c k i n t o t h e f e s t i v a l . We recommend contacting the health department at least a month before the event. Compl et ed Fal l Fest iv a l 2021 V endor Appl ic at ion w it h al l l i a b i l i t y signat u res. Payment in t he form of Cash, Money Order or Che ck onl y. NO CREDIT CARDS. Proof of G eneral Liab il it y Insu rance n aming Tow n of Pahru mp as a ddit ional l y insu red an d v al u ed at a mil l ion dol l ars. Copy of Temporary He al t h Permit . ( N ecessar y f or f ood v endors only) W hen al l f orms hav e b een compl et e d an d ret u rned t o t he Tow n of Pahrump Tourism Department, w e w il l be abl e t o gu arant ee you a boot h at t he f al l f est iv al . W e l ook f orw ard t o see ing you at t he 2 021 Fa ll F est iv a l. ---PAGE BREAK--- P ah r u mp F al l F e stiv al V en dor Applic ation Sep te mber 23-26, 2021 Plea se c om plet e all in f or mat ion an d sign as in di c at ed. I n compl et e f or ms w ill be r et ur n ed. Business/Organization Na Contact Na me Mailin g A d dr ess Cit y S t at e Zip Tele ph on e E -mail Ma ke/ Mo del V eh icle Licen se Plat e # Trailer Size: LIMI TE D NU MB E R OF 1 2 ’ X 1 2 ’ S P A CE S A V A I L A B LE. For Profit: 12 ’x 1 2’ i s $200.00* : No. desir ed _ Non- Profit: 12 ’x 1 2’ i s $50.00* : * O n e b o o t h p e r N o n - P r o f i t O r g a n i z a t i o n . *Non-Profits must show proof of non-profit status. TOTA L A M O UN T D UE Please indicate if you would like separate or adjoining locations if requesting more than 1 booth space. All ap plic at ion s ar e r ev ie w ed f or qu alit y an d d u pli cat ion . W e as k f or on e n on -r et ur n a ble ph ot o of your b o ot h set up an d pr od uct i f p o s s i b l e . Ty pe of it ems t o b e sol d: P l e a se r ead, sign an d r et ur n or igin al Application, Payment, and Pr o o f o f L i a b i l i t y I n s u r a n c e t o : Town of Pah r ump – Pahrump Tourism 4 0 0 N H w y 1 6 0 , Pah r u mp, NV 8 9 060 Con t a ct : 775–7 27-5107 opt 7. Fax: [PHONE REDACTED] Email: [EMAIL REDACTED] or [EMAIL REDACTED] THE DEADLINE FOR APPLICATIONS IS AUGUST 31, 2021. AP PLI C ATI O NS DO NOT GUARANTEE BOOTH U NTI L F E E S AR E P AI D I N FU LL A N D PR O OF O F LI ABI LI TY I NS U R A N CE NA MI N G T H E T O W N O F P A H R U M P AS A D D I T I O N A L I NS U R E D A R E RECEIVED. I , r epr esen t in g , hav e r ead t h e B oot h P olicie s, Pr oc ed ur es an d R equir em en t s f or ap pl i cat ion t o p ar t icipat e i n t h e 20 2 1 Pah r u mp Fall F est iv al. I f ully un d er st an d t h e P ol icies, Pr oc ed ur es an d R e quir em en t s, of w h i ch I h av e a c o py an d w ill c om ply w it h t h em. Fail ur e t o co mply co uld r e sult in a s us pe n sion of my/o ur r igh t s t o set u p a Bo ot h at t h is or an y f ut ur e ev en t s. S ign at ur e Dat e PLEASE NOTE ASSIGNED V ENDOR SPOTS ARE FINAL. NO CHANGES WILL BE MADE DURING THE EV ENT. ---PAGE BREAK--- P ah r u mp F al l F e stiv al V en dor Applic ation L i a b i l i t y S i g n a t u r e s Business/Organization Con t act HOLD HA R M LE S S : Ven d or sh all be s olely r e sp on si ble f or an y an d al l in jur ies t o per s on s or dam ages t o pr o per t y or an y ot h er in j ur y, claim d amag e or loss of w h at ev er n at ur e, ar isin g f r om or r elat ed t o t h e f est iv al. Ven d or s sh all in d emn if y, sav e an d h old h ar mles s t h e T ow n of Pah r um p, it s Bo ar d, s t af f , of f icer s, agen t s an d empl oye es f r om an d ag ai n st all liabilit y, loss, d amag es, claim s, cost s an d ex pen ses (in cl udin g r ea son abl e at t or n ey’s f ees) ar isin g out of in jur y t o per s o n (in clu din g deat h ) or dam age t o pr op er t y or an y ot h er in jur y, clai m, d amag e, los s, c ost or e xp en se ar isin g f r om t h e f est iv al per f or med by v en dor , in clu din g b ut n ot limit ed t o, an y n egligen c e, act or omissi on of v en d o r . S ign at ur e Dat e LIABILITY: Th e f e st iv al w ill pr ov id e min imal sec ur it y f or t h e f o ur- day ev en t ; h ow ev er , par t icip an t s ar e r e sp on si ble f or t h eir ow n mer ch an di se an d eq uip men t , it s pr ot ect i on a n d in s ur an ce. Th e T ow n of Pah r u mp, it s B oar d an d it s st af f w ill n ot be r es p on si ble f or lo sses of an y kin d, w h et h e r by f ir e, t h eft , ph ysical v iolen ce, elem en t s of n at ur e or an y ot h er cau se, h ow ev er or igin at in g. Par t icipan t s ar e r espon sibl e f or t h eir ow n mer ch an diz e an d e qui pm e n t , it s pr ot ect ion an d in s ur an ce. S ign at ur e Dat e FOR OFFICE USE ONLY: Received: Method of Payment: Amount: ---PAGE BREAK--- P ah r u mp F al l F e stiv al V en dor Applic ation E le ctr ica l S e r v i ce In for ma ti o n S he e t Business/Or gan izat i on Con t act • List all elect r ical eq uip m en t t o be us ed dur in g t h is year ’s P ah r um p Fall F e st iv al. • Voic e am plif icat ion e qui pmen t , su ch as b ullh or n s an d lo u dspeakers ar e n ot per mit t ed. * Due t o t h e limit e d p ow e r av ailabilit y at t h e Fest iv al gr oun ds, w e can s u p ply yo u w it h on ly 1 1 0 V olt s, 1 5-amp break e rs. Th e pow er so ur ce w ill b e w it h in 50’ of yo ur b oot h . You w ill h av e t o sup p ly en ough c or d t o r ea ch t h at poin t . WE CAN S UP PLY YOU WITH O NLY 1 O UTLET O F 1 10 VO LTS . S ign at ur e of A ppli can t Date TR A ILE R S : Nu mb er of Tr ailer s Len gt h of Tr ailer (in clu d e t on gue) W idt h of Tr ailer