MARCH 6, 2014

Vendor Registration Form/Speaker Forum

THIS IS A FREE EVENT

Vendor Name:________________________________________Contact:_________________________________

Address_____________________________________________________________________________________

City:________________________________________State:______________________Zip:__________________

E-mail______________________________________________Phone:__________________________________

Type of Booth & Description ___ Business _____Food ___ Organization _____ Entertainment ___ Non-Profit _____Other ____Speakers (provide an outline of your presentation on the lines below. Your presentation must reflect the theme of the event). Speakers: Please indicate time preference between 12:30 to 4:30. Vendors please provide a detailed description of your products/services.

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_____________________________________________________________________________________________

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Vendors are responsible for providing their own electricity. Setup time is from 9:00 a.m. to 11:00 a.m.

Wavier: The National Reparations Day Committee reserves the right to refuse any vendor/entertainer/speaker application. The vendor/entertainer/speaker shall hold harmless the City of Compton, National Reparations Day Committee, staff, volunteers, sponsors and assigns from any claims, damages, losses, liability or expenses which may arise, and shall not be held responsible for any loss or damage due to fire, accident, theft, weather, acts of God, vandalism or any other loss or injury whatsoever or not specifically described herein, whether past, present or future. Booths are not insured by the City of Compton, National Reparations Day Committee or any sponsoring agents. Vendors/entertainers/speakers must make provisions for safeguarding their goods. Vendors/entertainers/ speakers assume full liability for protecting, care and maintenance of vendor‘s property.

Please sign to acknowledge that you have read all of the information, rules and regulations and agree to be bound by this agreement.

Signed:__________________________________________Date________________________________________

APPLICATION DEADLINE FEBRUARY 22, 2014.

Mail to: National Reparations Day Committee, P.O. Box 6286, Compton, CA 90224-6286, e-mail to

nationalreparationday3613@gmail.com or contact Steve Taylor at 714-970-1227.