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MAUCH CHUNK MUSEUM AND CULTURAL CENTER JIM THORPE OLYMPIAN BIRTHDAY EVENT MAY 18TH & 19TH, 2019

Return before May 10, 2019 Business/Organization:__________________________________________________________________ Contact Name: ________________________________________________________________________ Address: _____________________________________ Email: _________________________________ _____________________________________ Telephone: __________________________________ Fax: ___________________________________ Type of Vendor: Please circle what type and if you will be bringing a tent. Artist/Crafter Tent Y / N

Non-Profit Tent Y / N

Food/Beverage Tent Y / N

Please provide a specific description of items for sale (if artist/crafter, please include a photo). _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ TABLE FEES ONLY: Make check payable to: JIM THORPE OLYMPIAN BIRTHDAY EVENT Artist/Crafter/food tent 10' x 10' Space - $30/weekend ( ) Food/Beverage Carts/Trailers: Space needed ____x____ - $40/Weekend ( ) Non-Profit: 10' x 10' Space - $15/Weekend (

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FEES ARE NON-REFUNDABLE

Return this Reservation form, Photo of Art/Craft, insurance certificate and Check for your table space to: NATURE’S TRAIL 5 BROADWAY JIM THORPE, PA. 18229

Proof of Liability Insurance ($500,000 Policy) must be sent with application and check. If you need insurance, we suggest www.actinsurance.com for $39, or signing a liability waiver accepting all responsibility ( Sent to you upon request).

A $30 A DAY VENDING PERMIT MUST BE OBTAINED FROM THE JIM THORPE BOROUGH OFFICE (AFTER YOU HAVE PAID FOR YOUR VENDING SITE AND BEEN APPROVED BY THE CHAIRPERSON) AND THEN PRESENTED AT THE TIME OF REGISTRATION SET UP.

A TRANSIENT VENDOR APPLICATION FORM MUST BE FILLED OUT AND SENT WITH YOUR CHECK TO THE BOROUGH ( APPLICATION WILL BE SENT TO YOU UPON APPROVAL FOR YOUR SITE). JIM THORPE BOROUGH OFFICE 101 East 10th Street Jim Thorpe, Pa. 18229 ATTN:LOUISE MCCLAFFERTY 570-325-3025

Office Use Only: Date Application Received:__________ Check #_________ Space Assigned:__________