CATEGORY (please mark one)

I.    DIRECT SALES (please attach a list of items to be sold) BUS LIC.#

II. NON-PROFIT

Group Name Non-Profit ID #

Planned Activity

PLEASE LIST SERVICE, GOODS, ENTRÉE PROVIDED BELOW (ATTACH A LIST OR MENU IF NECESSARY

III. INFORMATION

IV. FULL FOOD/ENTRÉE

IV.(A) SNACK FOOD

V. ARTIST/CRAFTER

VI. FARMER

VII. ENTERTAINER

HAVE YOU BEEN A VENDOR AT ANY OTHER MARKET NIGHTS YES NO

DATES DESIRED

MAY WE LIST YOUR PHONE NUMBER FOR REFERRAL? YES NO

Emergency Contact Information

Name Relation

Phone

 The Undersigned  Vendor(s) acknowledges receipt of the Market Night rules and regulations from the Patrons of the Roosevelt Bowl, operator of the San Bernardino Farmers Faire & Market Night.  I / We  the Vendor(s), understand and will comply with said rules. Non compliance will result in removal from the SB Farmers Faire & Market Night and surrounding Perris Hill Park area. The undersigned vendors(s) further certifies that they are responsible for any and all activity associated with their presence, and are authorized to execute on behalf of the group or entity they represent.

    As the Vendor(s),  I / We agree to pay for any and all fees, dues, and permits, or to make arrangement to make payment. Furthermore I / We are the authorized agent  to accept legal process on behalf of the entity or group.

   The undersigned also agrees to indemnify and Hold Harmless Patrons of the Roosevelt Bowl, the City of San Bernardino, its elected, appointed and staff,  and/ or any associates from any and all damages, liabilities, costs and expenditures, including but not limited to attorney fees, collections, and costs of defense which may occur by reason of use of the street and Perris Hill Park for Market Night Activities.  I / We,  as Vendors acknowledge that the above mentioned are not responsible for safety, theft or robbery.

    I / We as the vendors will cease operation immediately at the request of the Market Manager, or any and all local  law enforcement authorities in case of natural disaster, civil unrest, or tumult. There are no discounts for damages.

DATE    SIGNATURE