CHIPPEWA COUNTY FAIR
Vendor Space Application

Business Name:_______________________________  Application date:____________

Contact Person:_________________________ Title:____________________________

Phone:_______________  Fax:___________________   E-Mail:_____________________

Street Address:__________________________________________________________

City:_____________________________________ State:___________ Zip:__________

Product/menu:
Please send a list of products you wish to sell or display.  You may attach additional sheets if needed.
__________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

Indoor Space - $15 / ft  (10 ft deep max)              Outdoor Space - $15 / ft (30 ft deep max)

Space needed:   Indoor ____________ Size of space?  10' X __________

Outdoor_________Frontage:___________Depth:___________  Working Sides:_________

Electric required: ____Yes ___No  If yes,  check the appropriate Amp &  Volt information
Amps: 20_____ 30 _____ 50 ______100 ______  Volts: 110 ______        220 ______
Cost of Electricity is included in the $15/ft charge.

Internet service is available for $5/week.

Do you require camping:  ______Yes _____No     If yes, what size / type of camper?  
_________________________________________________________________

Any other special requirements you would need?________________________________
________________________________________________________________________

Please give  business references of fairs/shows attended within the last two (2) years:
Name:____________________________Title:________________ Phone:_______________
Name:____________________________Title:________________Phone:________________
Name:____________________________Title:________________Phone:________________

Special stipulations:
- A color photo or detailed drawing of concession/exhibit should be submitted with the application if available.
- Application must be filled out COMPLETELY!
- General liability insurance is required.

I hereby request display space as indicated above.  I further agree to comply with all rules and regulations
of the Fair for display space.

Duly authorized agent:__________________________________ Date:____________
 Signature: _________________________________________

NOTE:  RECEIPT OF THIS APPLICATION DOES NOT INSURE DISPLAY SPACE WILL BE
AVAILABLE OR APPROVED FOR THE COMING YEAR.

PLEASE MAIL Application (with photos, if available) to:
Don Cole, 609 Barbeau St. Sault Ste. Marie, MI 49783
(c) (989) 916-8074  
pizzabeesandgolf@gmail.com


                                           FOR OFFICE USE ONLY

Received  _________________  Approved _____________ Denied _____________
Notes: ____________________________________________________________________________
__________________________________________________________________________________
_________________________________________________________________________________

                                       CHIPPEWA COUNTY FAIR

                                           Applicants Statement

I understand that this application form is intended for use in evaluating my qualifications and acceptability
as a commercial vendor and that acceptance of an offer to exhibit does not create a contractual obligation
upon the Chippewa County Fair to continue to allow me to exhibit in the future.  I also understand that false
or misleading statements made during any correspondence or background documents; and on this form
are grounds for termination of the application process or if discovered after a contract has been executed,
the termination of the contract.

I authorize the Chippewa County Fair and/or its agents, including consumer reporting bureaus, to verify any
of this information, including but not limited to, financial and credit history, criminal history background and
motor vehicle driving records.  I authorize all persons, schools, companies and law enforcement authorities
to release any information concerning my background and hereby release any said persons, schools,
companies and law enforcement authorities from liability for any damage whatsoever for issuing this information.

Signature of Applicant ; _______________________  Date_______________

Printed name of Applicant _______________________   Date______________