Vendor Application Business Contact Information Business Name * Contact Person Name * First Name Last Name Business Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Website * http:// Please provide social media (Instagram, Youtube, Twitter, etc.) accounts for your business, if applicable. Business Details Type of Business * e.g. Food, Clothing, Art, Hot Sauce, etc. Description of Products/Services Offered * Please provide detailed information about all of your business' products and services. Years in Operation * Tax ID Number (if applicable) Please enter numbers only with no spaces or dashes. Event-Specific Information Have you participated as a vendor at any Second Street Music events before? * Yes No If yes, which events and when? Preferred event(s) or event date(s) to vend? Space Requirements e.g Size, Electricity Product and Service Compliance Do your products/services require any specific licenses or permits? * Yes No Please list all permits and licenses held relevant to your vending activity * Do you carry liability insurance? * You will need to provide certificate of insurance, if applicable. Yes No Agreements and Policies Do you agree to abide by event rules and regulations? * Yes No Do you agree to indemnify, defend, and hold harmless Second Street Music, its officers, directors, employees, agents, and affiliates from and against any and all claims, liabilities, damages, losses, expenses, including, but not limited to, reasonable attorney fees and costs, arising out of or in any way connected with your participation in the event, including but not limited to, any injury or damage to persons or property caused by the vendor's products, services, equipment, acts or omissions, or the breach of any representation, warranty, or covenant in this agreement? * Yes No Thank you!
