Vendor InformationName(Required) First Last Business Name(Required)Mailing Address(Required) Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Telephone(Required)Email(Required) I have my own tent: Yes No (If you do not have your own tent, please talk to us first) Facebook Handle:Instagram Handle:Product NameVendor Fee (6’ frontage) - $30 (per date)<br/>Please indicate date(s) of attendance: June 12 July 10 September 11 October 09 If you would like to attend 4 dates we offer a seasonal rate $110 Total amount owing: Additional InfoPlease include the following in your application: Payment payable to Russell Agricultural Society by e-transfer (treasurer@russellfair.com) in the memo please indicate “Market” and name of vendor Proof of insurance (please review page 2 for details) $2,000,000 Certificate of Insurance naming the Russell Agricultural Society as an additional insured (mandatory) Signed and completed contract (Please review the terms and conditions carefully) Food Vendors - Please send us a copy of your Temporary Food Vendor Notification form for the EOHU, please remember it must be submitted to EOHU at least 30 days before the event. File Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 5 MB, Max. files: 2. Consent I agree to the Russell Agricultural Society’s terms and conditions as outlined hereafter, to accept the space I am allotted, and that I will not hold the Russell Agricultural Society responsible for loss of or damage to goods brought onto the grounds or buildings by myself or my representatives.Applicant Signature:Date MM slash DD slash YYYY