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2009 Sturgis Falls Street Fair Application Sturgis Fax: (319) 277-0752 Name _____________________________________________ Company Name ____________________________________ Street _____________________________________________ City ___________________ State_________ Zip _________ Telephone # _________________ Iowa Sales Tax # _________________(required by Iowa Dept. of Finance) Federal Tax ID # _____________________________ Category Art ________ Craft ________ Non-profit _______ (Please describe) ______________________________________ Would you like the same location as last year if it were available when your application is received? Yes_______ No______ (Space assignment begins March 14th) Comments:_____________________________________________________________________ IF ACCEPTED, WE ACCEPT FULL RESPONSIBILITY FOR ALL LIABILITY FOR DAMAGES TO PERSONS OR PROPERTY ARISING OUT OF OUR USE AND OCCUPANCY OF THESE PREMISES. WE FURTHER UNDERSTAND THAT THE PREMISES BEING USED ARE THE PROPERTY OF THE CITY OF CEDAR FALLS. WE ALSO UNDERSTAND THAT THE CITY, STURGIS FALLS CELEBRATION, INC. AND CEDAR BASIN JAZZ FESTIVAL, INC. DO NOT ASSUME ANY RESPONSIBILITY FOR DAMAGES OR LOSSES THAT MAY OCCUR TO THE VENDOR, ITS EMPLOYEES, ITS AGENTS, OR ITS PROPERTY BY REASON OF ITS OCCUPANCY. WE FURTHER AGREE TO INDEMNIFY STURGIS FALLS CELEBRATION, INC., CEDAR BASIN JAZZ FESTIVAL, INC., AND THE CITY OF CEDAR FALLS, IOWA FOR ANY AND ALL DAMAGES WHICH THEY MAY INCUR DUE TO OUR USE AND OCCUPANCY OF THE PREMISES. ONCE ACCEPTED, NO REFUNDS WILL BE ISSUED. Signature ____________________________________ Date ________________ Registration Fee of $75 must be received before application can be considered. Applications received after 6/1/09 must have registration fee paid in certified funds, money order or the like. No applications will be accepted after June 15th. Please mail to the following: STURGIS FALLS USE ONLY: Sturgis Falls Celebration Date Received __________ Photo Enclosed ___ Yes ___ No Linda Kennedy Amount Received __________ Assigned Location(s) _________ 943 Parkway Court Check # _______________ Cedar Falls, IA 50613 |