Vendor Registration Form
The Violators Motor Club Spring Bash
Saturday, May 1.....9 am –?

gates will open for vendors earlier

 PLEASE PRINT OUT THIS FORM.

                                                                                                    -PLEASE PRINT-

                                                        Name of Business _______________________________________________________*

                                                        Contact Name __________________________________________________________*

 
                                                         Address _______________________________________________________________*

                                                        City/State/Zip __________________________________________________________*

                                                        Phone ___________________________

                                                        Cell _____________________________ *

                                                        Fax _____________________________

                                                        Email ___________________________ *

                                                                                                                         * LINES NEED TO BE FILLED OUT

Vendor spaces are 10 X 20 and cost $35 each Number of spaces needed _______ Brief description of items you wish to sell/display/promote.

____________________________________________________________________________________________________________________________________________________________

 I/We, ______________________________________ hereby warrant that I/we are independent contractor(s) and agree to indemnify and save harmless The Violators Motor Club, and the City of Hamburg from and against any loss or expense by reason of any liability imposed by law upon the sponsors or the City of Hamburg and from and against claims against the sponsors and the City of Hamburg for damages because of bodily injuries, including death, at any time resulting therefrom, accidents sustained by any person or persons on account of damage to property rising out of or in consequence of the Violators Motor Club Spring Bash whether such injuries to persons or damage to property are due to or claimed to be due to any negligence of the sponsors of the City of Hamburg, their agents, servants, or employees or any other person.


Signature __________________________________ Date _________________

Questions: please call 484-818-1318

 Return to: member accepting application or mail to:

 Violators Motor Club

 c/o Christopher Shultz 115 Montieth ave. West Lawn, PA 19609

 Make check payable to: member accepting application or if mailing application make check payable to: Christopher Shultz.

Thank you!