Vendor Registration Form

Car, Truck & Bike

Cruise In and Parts Swap Meet

Horizon Church Car, Bike, & Truck Cruise In & Parts Swap Meet

Vendor Participation Form for Parts Swap Meet Sales & Other Vendors (Food is supplied by Horizon Church for this event)

THANK YOU FOR SUPPORTING HORIZON MINISTIRIES!

Event is held at Horizon Church 316 Signal Hill Drive Statesville, NC 28625

Event Coordinator: Darrell Millsaps …….704-224-3510 or dpmillsaps@aol.com

The event will begin at 9am and will end around 3 pm on Saturday May 2, 2015.

Vendors may arrive for set up as early as 8:00 am. Vendors must provide own table/shelving or for an additional cost the church will provide a table for you.

Vendors must remove all items from the Church immediately following the event. Vendor/Name/BusinessName__________________________ Telephone#__________________ Address_____________________________ City:__________________State:______ Zip:_____________ Email Address__________________
Name of responsible Individual:________________________________________________________________________ Table rental $25________________Space Rental (bring your own table) $20 ________

? As a vendor I, for myself, my executor, administrators, and assigns, do hereby release and discharge Horizon Church, members, sponsors, organizers, or their representatives, and all cooperating businesses and organizations from all claims of damages.
? I understand that I may be photographed, filmed or videotaped at the event.
? I understand that if the event is canceled due to weather and any other cause that I will not be reimbursed my
vendor fee, however we will reschedule and your paid dues will allow you to participate on the rescheduled date.

___________________________________________________ __________________ Vendor’s Signature Date

Make checks Payable to Horizon Church
Please mail to: Horizon Church PO Box 5965 Statesville, NC 28687

Vendor or Business Name
Name of Responsible Individual
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Email
Phone
Do you need access to electricity?
YesNo
Type of Rental
You have the option of renting the space only for $20 but you will need to bring your own tables. If you also need to rent tables, the fee will be $25Space Rental only, I will bring my own tablesTable Rental
Release Agreement- must be signed in order to participate in the event • As a vendor I, for myself, my executor, administrators, and assigns, do hereby release and discharge Horizon Church, members, sponsors, organizers, or their representatives, and all cooperating businesses and organizations from all claims of damages. • I understand that I may be photographed, filmed or videotaped at the event. • I understand that if the event is canceled due to weather and any other cause that I will not be reimbursed my vendor fee.

Verification

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