RUSTY SCUPPERS PIRATE DAZE MERCHANT APPLICATION, 2018.

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1 RUSTY SCUPPERS PIRATE DAZE, INC. PO BOX 871, WESTPORT, WA, JUNE 22 nd JUNE 24 TH, 2018 RUSTY SCUPPERS PIRATE DAZE MERCHANT APPLICATION, IF YOU FILL THIS APPICATION OUT ONLINE, THEN PLEASE FOLLOW THE FOLLOWING INSTRUCTIONS: Please read all information and disclaimers, and fill out the online application (page 3 through 5 below), in full. Please then send in your full payment, including all fees for electric, etc. within 2 weeks of your online application, to PO Box 871, Westport, WA, 98595, made payable to RSPD IF YOU PRINT THIS APPICATION OUT TO MAIL IT TO US, PLEASE FOLLOW THE FOLLOWING INSTRUCTIONS: Please print and fill out this application, found at Please make sure you also include the signed Hold Harmless application, and proof of Insurance, (if needed, for Food Merchants). Send all material to, accompanied by a check or money order for the full amount due, to PO Box 871, Westport, WA, 98595, made payable to RSPD FOR ALL MERCHANTS: Vendor fees are non-refundable once the notice of Acceptance has been sent. All Applicants must send a complete Application and a signed/dated Hold Harmless agreement. New Applicants must send two or more photos of their wares and/or booth display. (Current website with pics will work). ALL Applicants must have a Washington State Business License (UBI #). Please make sure this is included in your application. PLEASE also make sure you give us a good address that you check and have access to this is how we will be sending you much of your Merchant information and answering your questions! Assignment of booth space and location is at the discretion of the RSPD 2018 Committee, and is largely determined by need, type of wares, and seniority. We will advise people both of their acceptance, and their apx location as soon as possible, but location cannot be determined until June of RSPD 2018 reserves the right to refuse participation to any Applicants with displays of any items, information, or services that are deemed inappropriate to the event.

2 VENDOR CHECK LIST FOR MAILED APPLICATIONS: please make sure you have completed all of these steps! PRINT APPLICATION OUT, FILL IT OUT, AND MAIL IT TO PO BOX 871, WESTPORT, WA SIGN AND RETURN THE HOLD HARMLESS AGREEMENT FORML (FILL OUT ALL FORMS ONLINE if possible); INCLUDE A SELF-ADDRESSED AND STAMPED ENVELOPE WITH ALL MATERIALS PLEASE; (to address below, as applicable.) SEND IN CHECK OR MONEY ORDER PAYABLE TO RSPD 2018 PROOF OF VENDOR INSURANCE FOR FOOD VENDORS ONLY (Depending on product) (proof of insurance due by June 1, 2018, you can this to us, at oldcoasty69@msn.com ) PHOTOS OR WEBSITE INFO FOR NEW VENDORS ONLY, if not already included; (please send website/url to occamsedge500@gmail.com or oldcoasty69@msn.com if needed ) MAILING ADDRESS: RUSTY SCUPPERS PIRATE DAZE, INC, PO BOX 871, WESTPORT, WA ALL CHECKS PAYABLE TO: RSPD 2018 WEB ADDRESS FOR EVENT: CONTACT FOR MERCHANT QUESTIONS: Scott Huber, occamsedge500@gmail.com or Rosie Litterer at oldcoasty69@msn.com We will be letting all people know as to acceptance, questions, or any other issues as soon as possible. As an Event Merchant myself, I fully recognize the need for information as soon as possible, so wish to be available to you as easily as possible. The quickest, most accurate way for your concerns is to , to oldcoasty69@msn.com, or occamsedge500@gmail.com or raysbay@yahoo.com but failing that, you may also contact Scott Huber at , (afternoons and eves are best). If ing, please include your business name! VENDOR CHECK LIST FOR ONLINE APPLICATIONS: please make sure you have completed all of these steps! PLEASE FILL OUT ALL FORMS ONLINE, INCLUDING THE HOLD HARMLESS AGREEMENT SEND CHECK OR MONEY ORDER, PAYABLE TO RSPD 2018, TO PO BOX 871, WESTPORT, WA SEND A SELF-ADDRESSED AND STAMPED ENVELOPE WITH ALL MATERIALS BELOW PLEASE, ONLY IF APPLICABLE; (to address below) PROOF OF VENDOR INSURANCE FOR FOOD VENDORS ONLY (Proof of insurance due by June 1, 2017, you can this to us, at oldcoasty69@msn.com PHOTOS OR WEBSITE INFO FOR NEW VENDORS ONLY, if not already included; (please send website/url to oldcoasty69@msn.com if needed)

3 (Office use only. Paid. UBI. Booth #.) 2018 Rusty Scuppers Pirate Daze Merchant Application All returned applications must be accompanied by a check or money order for the full amount due made payable to RSPD This fee is non-refundable once the notice of acceptance has been mailed. All applicants must send a completed application and a signed and dated Hold Harmless Agreement. New applicants must send two photos of items and booth display. All applicants must have a Washington State Business License (UBI#) Please enclose a self addressed, stamped envelope. Ineligible applicant s fees will be returned promptly. Notification of acceptance will be mailed within a week of receiving your application. You will be informed of your space when you arrive on Thursday, June 21 st. Check in will be from Thursday, June 21 nd, 3:00PM to 9:00PM, and on Friday morning, June 22 rd, from 8:00AM to 11:00AM. Assignment of booth space and location is at the discretion of the RSPD 2018 Committee. RSPD 2018 reserves the right to refuse participation to any applicants with displays of any items or services deemed inappropriate. PLEASE FILL OUT ALL REQUESTED INFORMATION: CONTACT NAME: BUSINESS NAME: WASHINGTON STATE BUSINESS LICENCE # / UBI: ADDRESS: CITY: STATE/PROV: ZIP/POSTAL CODE: PHONE: WEBSITE/URL (including Facebook, Etsy, ETC) GENERAL MERCHANT: FOOD VENDOR: YEARS OF ATTENDANCE: GENERAL MERCHANT BOOTH: 10X10 = $ ; 10X20 = $ ; 10X30= $ FOOD MERCHANT BOOTH: 10X10 = $ ; 10X20 = $ ; 10X30= $ ELECTRICITY: We are VERY limited in outlets, so please be sure to indicate how many outlets you need! We have ONLY 110 volt outlets available, so if you need more than that, you will need to bring your own generator, and make sure you have paid space for it. I DON T NEED POWER: I DO NEED POWER! IF SO, NUMBER OF OULETS NEEDED: Electricity is $35.00 per outlet, and will be added to your overall booth fee. WHAT ARE YOU SELLING? LIST ALL ITEMS THAT YOU ARE VENDING/SELLING: (use additional pages if needed IF A NEW VENDOR, please provide at least two attached pics, or a URL/Link/website, etc where we can see your merchandise. Are their places for us to see those pictures, including Etsy or Facebook sites?

4 I WISH TO BE INVOLVED IN THE TREASURE CHEST DRAWINGS: YES NO (This is an opportunity drawing on the main stage throughout the event. The prizes are donations made by local businesses and participating Vendors. RSPD will collect the prizes from Vendors upon check in, and will hold drawings throughout the 3 days of the Festival. Participants will receive an Official Treasure Chest Vendor sign to display to the public. Customers will receive ONE ticket for every purchase at your business. For their chance to win, they need to print their name clearly on the tickets and return those tickets to the booty booth. THEY MUST BE PRESENT AT THE MAIN STAGE DRAWING TO WIN! In order for this to be as effective as possible in terms of attendee satisfaction, please make sure that if you are being an acknowledged part of the promotion, that you provide the tickets to the Customers as they purchase your wares. Merchants MUST provide their own double stub tickets for this, and are responsible for giving out tickets to their customers. PLEASE LIST ANY PREFERENCES FOR LOCATION, PEOPLE TO BE NEXT TO, OR NOT NEXT, ETC! WE WILL DO OUR BEST TO HONOR THESE REQUESTS, BUT CANNOT PROMISE ANYTHING. I hope this is helpful to you all in terms of any questions you may have regarding Rusty Scuppers If you have any questions, please check the website at (The website is currently for last year s event, in 2017; please expect updates in the following months) And again, please let me know if you have any questions or concerns. Thank ye all, and best of success to ya all! Your servant, Scott the Shameless Du Lann (Scott Huber) MerchantCrat, Rusty Scupper Pirate Daze, 2018 ======================================================================================= RSPD OFFICE USE ONLY PLEASE: Space Number ; Application Received ; Check Number ; Amount ; Years Attended ; Electrical Outlets?? Number of Outlets needed? (N/A) FOOD VENDOR: Yes No Treasure Chest Participant: Yes No

5 Rusty Scuppers Pirate Daze, Inc. PO Box 871, Westport, WA HOLD HARMLESS AGREEMENT THIS AGREEMENT IS ENTERED by and between Rusty Scuppers Pirate Daze, Inc. (hereafter referred to as RSPD ) and, (hereafter referred to as Participant ). WHEREAS, RSPD is the sponsor of Rusty Scupper s Pirate Daze, an event occurring at Westport, Washington, June 22 nd, 23 rd, and 24th, of 2018, and, whereas the Participants(s) are interested in participating in the aforementioned festival to be sponsored by RSPD, Participant hereby agrees that and in consideration for being a participant in the festival, the participant shall hold RSPD harmless for any and all acts or omissions occurring in preparation for, during, or in conclusion of the festival. The Participant intends this agreement to extend to and include any and all acts of negligence on the part of the Participant, and to in addition, hold harmless RSPD for any loss, injury, or damage incurred by the Participant during the course of the said event. DATED this day of, Participant RSPD

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