2017 Thursday Farmers Market Application - Clover Sites

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GPS Farmers Market Located at GPS Faith Community 10714 N. 2nd Street in Machesney Park, IL 61115 (779) 221-8491 [email protected] www.Facebook.com/GPSFarmersMarket Thursdays, 3 - 7 pm from June 1 – September 21, 2017

2017 Thursday Farmers Market Application Name: __________________________________________________________________________ Address: _________________________________________________________________________ City, State Zip: ____________________________________________________________________ Phone: __________________________________________________ Email: ___________________________________________________ Products Selling:

What percentage of your product(s) do you grow or produce yourself? __________________ Stalls consist of a 10’ x 16’ parking spot with a second space behind to park your vehicle. Full season runs June 1 – September 21, 2017 _________

$100 Single Stall

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$160 Double-wide Stall

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$25 for electricity (1 power cord connection) – limited availability

_________

$15 Daily Rate (non electric)

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$20 Daily Rate (electric)

Daily Renters must complete application/waiver and prepay by the Thursday of the week PRIOR. Total enclosed: $______________________ (Checks payable to GPS Faith Community. Fees are nonrefundable)

GPS Farmers Market Liability and Damage Waiver I (licensee name and organization name) ___________________________________________________________ Do state the so named licensee and organization will hold safe and harmless GPS Farmers Market, GPS Faith Community, and K&J, LLC (Licensors) and their employees, agents, and representatives from any and all claims from public invitees, employees, members or agents of Licensee and from any and all claims for personal injury or damage to any displays or equipment during their presence in the GPS Farmers Market and/or GPS Faith Community complex for the 2017 Farmers Market. Signature of licensee: _______________________________________________________Date: ____________________ Please include a copy of your certificate of liability insurance naming GPS Faith Community as an additional insured for the duration of the market season with your application. Revised 1/2017

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