GAN
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Southeast Kentucky
Chamber of Commerce
The Power To Be Heard
HILLBILLY DAYS 2016
APPLICATION
Hillbilly Days 2016
April 21-23, 2016
Southeast Kentucky Chamber of Commerce Application
178 College Street Email: info@sekchamber.com
Pikeville, KY 41501 Phone: 606-432-5504
Fax: 606-432-7295
Please complete this form in detail and return by December 31, 2015. You MUST include a minimum of 50%
deposit. A photo of your trailer, with tongue and awning, or your tent and a photo of your merchandise is
required. Your application will be considered incomplete, if no photo is included.
Please Note: If you are assigned a space, your deposit is non-refundable, NO EXCEPTIONS
General Information
Group or Business Name: Kentucky Coalition to Abolish the Death Penalty
Contact Person (Responsible for Payment): Shekinah Lavalle
Mailing Address: P.O. Box 3092
City: Louisville State: Kentucky
Telephone (Work); 202-636-1330 (Home) ; 502-294-0343
502-636-1330
Zip: 40202
Cell or Pager number where you can be reached during Festival (Required):
Email Address: shekinah.lavalle@ kcadp.org
License Plate number of vehicle you will be driving to the Festival: 454NCZ
State where vehicle is registered: Kentucky
Make & Model of Vehicle: 2000 Honda Civic
Did you have vending space(s) in 2015 (check one) [-] YES or [=] NO
If YES, please list your location(s):
Items for Sale
In order to prevent oversaturation and several duplications of a product vendors are limited to FIVE (5)
ITEMS. This does NOT include soft drinks. Please LIST the FIVE (5) items that you will be selling.
N/A
Ts
2.
3s
4
5.
Hillbilly Days 2016 Application | 2
Trailer Information
+ Trailer Spaces can accommodate units up to 24’X 8’
If trailer is greater than 24’ or you have additional equipment that is required for your
operation that must sit beside of the trailer, additional space MUST be purchased at $27.50 per
additional foot.
+ Non-retractable tongues MUST fit into the space
+ No trailer will be allowed to protrude into the street more than 10’ this includes any attached awnings
Tent Information
+ Tent Spaces in the Parking Garage can accommodate tents up to 10’X 10’
+ Tent Spaces on the Streets will be determined by your tent size up to 20’X 10’
¢ No tents are allowed on Main Street
Vendor Setup Requirements
Do you have a vending trailer (check one) [-] YES or [=]NO Tent (check one) [=] YES or [.]NO
How many of each? Trailer Tent 1
Trailer 1
Trailer Size Xx Awning Size Total Footage with awning open andtongue__—X_
Do you need electricity (check one) [-] YES or [=] NO
Type needed: 110 [-] How many hookups. Amps required.
220 [| How many hookups Amps required.
Do you need water (check one) [_] YES or [=]NO
Trailer 2
Trailer Size Xx Awning Size Total Footage with awning open andtongue__—X__
Do you need electricity (check one) [[] YES or [.]NO
Type needed: 110 [-] How many hookups. Amps required
220 [| How many hookups Amps required.
Do you need water (check one) [_] YES or [-]NO
Tent 1
Size of tent; 10 Ft.x 10 Ft.
Do you need electricity (check one) [[] YES or [=]NO
110 [|] How many hookups Amps required.
Do you need water (check one) [_] YES or [=] NO
Tent 2
Size of tent: Ft. X Ft.
Do you need electricity (check one) [-] YES or [-]NO
110 [.] How many hookups Amps required.
Do you need water (check one) [_] YES or [-]NO
Hillbilly Days 2016 Application | 3
Vendor Space P! g
Commercial Vendors ...
Handmade (Only) Crafts. ...... sessesesssvesenssnecsessees
Non-Profit 501(c)(3) Organization (where sales are involved)...
$726.00
$484.00
$330.00
$132.00
Non-Profit 501(c)(3) Organization (where NO sales are involved)
Number of booth spaces? 1
$132
Space Fee.
Processing Fee $5.00 X 1 (# of booths) = $5
KY Electrical Inspection Fee $2.00 X 0 (# of booths) = 0
Electricity Usage Charge $25.00 X 0 _(# of booths) = 9
$137 + $25 late fee=$162
Total Due
Apply $25.00 LATE FEE if postmarked, emailed or faxed AFTER December 31, 2015.
Payment Information
Please Choose Payment Form; Credit Card, Money Order, Check or Cash (Circle ONE)
Credit Card - All fields are required
Type of credit card (check one) [=] VISA or [-] MASTERCARD
gq: Shekinah | Lavalle
qd: 1472S 2nd StApt2, Louisville, KY 40208
Name as it appears on car
Address where credit card statement is maile
Credit card number; 4037660032526279
02/17
3 Digit Security Code: 078
Expiration Date:
Amount to be charged to credit card [[] Full Amount [#] 50% of Total Due* $81 (J Other*
*Minimum of 50% of total due with application
Money Order: Make payable to Southeast Kentucky Chamber of Commerce
Money Order Number Payment Amount*
*Minimum of 50% of total due with application
Check: Make payable to Southeast Kentucky Chamber of Commerce
Check Number Payment Amount*
*Minimum of 50% of total due with application
Cash
Payment Amount*
*Minimum of 50% of total due with application
Hillbilly Days 2016 Application | 4
Hillbilly Days Vendor Rules and Regulations
1. Trailer & Tent spaces on the street are up to 24’ x 8’; you will be allotted space to accommodate your trailer
or tent and equipment used to operate only. A space in the parking garage (homemade crafts) is 10’x 10. If
your vehicle or tent exceeds the allotted size you MUST purchase additional space prior to the event.
Vending spaces should be attractive, creative and kept clean.
2. Obscene and illegal items, professional games, and activities considered objectionable by the Hillbilly Days
Committee are prohibited. Absolutely no selling of silly string or stink bombs.
3. The chamber office MUST receive completed and signed applications with a 50% deposit by December
31, 2015 to avoid a late fee. Any application received after December 31st will be charged a $25.00 non
refundable late fee. No applications will be accepted after February 14, 2016.
Unsigned and incomplete applications (i.e. those without deposit and /or adequate information
regarding vending booth) will not be accepted.
4. The Hillbilly Days Committee will make the final determination for the classification of booths. If you cannot
be placed, your deposit will be refunded. However, those who are assigned a location will NOT receive a
refund for any reason. Notification of assigned spaces will be made no later than March 15, 2016.
5. Verification that your organization is a qualified tax-exempt 501(c)(3) entity must be provided. The Hillbilly
Days Committee will make the final determination if the application qualifies.
6. All political affiliated organizations are charged commercial vendor pricing with no exceptions.
7. To receive the Handmade (ONLY) Crafts price, you must provide proof to the Chamber that you are making
the homemade crafts being sold. This classification will be determined by the Chamber and their decision
will be final. Handmade (ONLY) Crafts pricing also requires that vendors will be placed in the bottom floor of
the parking garage, all vendor space outside the garage will not receive the Homemade (ONLY) Crafts pricing.
8. Your application MUST include the five (5) products that you will be selling. To reduce an excess of similar
products, the Hillbilly Days Committee may limit the types of items being sold.
9. Every effort will be made to accommodate booth location requests from vendors that have been here in
previous years; however, the Chamber cannot guarantee that previous vendors will have the same
location(s) that they had previously occupied. Any decision on placement made by the Hillbilly Days
Committee is FINAL.
10. When a vendor is notified of booth location the remaining balance is due. The balance must be paid in full
within ten (10) days or the space will be given to another vendor.
11. All participants MUST report to the staging area and check in with Chamber Hillbilly Days Officials
to receive booth tags and information packets before setting up. Set-up times will be assigned to all
vendors to minimize confusion and congestion. No vendor will be allowed to set up before their assigned
time, if a vendor sets up before the assigned time they will be asked to leave without a refund.
12. The Southeast Kentucky Chamber of Commerce is the ONLY entity authorized to rent vending spaces during
Hillbilly Days. Subleasing by vendors is strictly prohibited.
Applications may be mailed to: Vendors may also fax application to
178 College Street 606-432-7295
Pikeville, KY 41501 Vendors may also email application to
info@sekchamber.com
By signing this form, | agree that | have read, understood and will abide by all the rules and regulations set forth
by the Hillbilly Days Committee. Please make a copy of this form for your records.
Shekinah Lavalle 02/10/16
Signature: Date:
Hillbilly Days 2016 Application | 5
Contract Agreement
The applicant acknowledges that this application along with the Hillbilly Days Vendor Rules and Regulations
constitute a binding and valid contract between the applicant and the Southeast Kentucky Chamber of
Commerce and the Hillbilly Days Committee if the application is accepted.
This contract is enforceable and the laws of Kentucky shall control the interpretation of the contract. The
venue for any dispute shall be in Pike County, Kentucky.
The applicant agrees and acknowledges that by the signing of this agreement that they are not guaranteed
any specific amount of funds from the sale of the items which they are applying for space. They further
acknowledge and agree that they will indemnify and hold the Chamber and the Hillbilly Days Committee
harmless from any and all claims made by any third party as a result if their performance pursuant to this
agreement.
The applicant acknowledges that no promises or statements made by a Chamber or Hillbilly Days Commit-
tee representative can modify or alter the terms of this agreement unless the changes are in writing and
signed by both the applicant and the Chamber and the Hillbilly Days Committee.
The Southeast Kentucky Chamber of Commerce and the Hillbilly Days Committee reserves the right to refuse
any and all applications. They also have the right to allow a vendor to set up as well as the right to close the
booth of any vendor not following the Hillbilly Days Vendor Rules and Regulations included in this form.
Inappropriate and disrespectful behavior, foul language or refusal to follow the requests of the Hillbilly Days
Staff will not be tolerated. Said vendor will be required to leave immediately. There will be NO refund.
By signing this form, | agree that | have read, understood this contract. Please make a copy of this form for
your records.
Shekinah Lavalle
Signature
February 10, 2015
Date
Hillbilly Days 2016 Application | 6
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