Copperopolis Homecoming Celebration
June 2, 2012
Merchant Application
Outdoor 10’ X 10’ spaces
$15.00 WITHOUT power. $20.00 WITH power – limited availability
Setup begins at 6:30 am on day of event
You must provide your own tent, tables, etc.
Space is limited so reserve early.
Name _________________________________E-mail
_________________________________
Address
__________________________ City _______________
State __________ Zip
______
Home Phone ________________________________ Cell Phone
_________________________
Description of Items Sold
________________________________________________________
______________________________________________________________________________
Do you need space with electricity? _________________ Yes
_________________ No
Number of Spaces requested? _______________________ Amount
enclosed _______________
NO FIREARMS, FIREWORKS OR SIMULAR
EXPLOSIVES NO ALCOHOLIC BEVERAGES
I, the undersigned,
understand that the Copperopolis
Community Center and/or its Board of Directors is not responsible for theft,
loss or damage to space holder’s property nor liable for injury to space
holders or their workers before during or after the event. I further agree to
hold harmless the Copperopolis Community Center and/or its Board of Directors
from any claim of injury or damage to goods, workers, or from any claims of
workers or third persons arising from the products or actions of the space
holder.
For further
information call Sandy Rollings at 209 785-4081.
Signed
___________________________ Date ___________________
Please submit application and check made payable to
“Copperopolis Community Center” and mail to:
Copperopolis Community Center
c/o Sandy Rollings
P.O. Box 4
Copperopolis,
CA 95228
