2008 Rummage Sale Seller Application

							                             2009 Holiday Bazaar Vendor Application

                                       Please fill out completely
                        Print or type all information and return with the fee to:
                                       Bedford Parks Department
                                              1102 16th Street
                                            Bedford, In 47421

Vendor Information

Name of Primary Vendor: __________________________________________________

Name of Additional Vendor: ________________________________________________

Mailing address: __________________________________________________________

City: __________________ Zip Code: __________ Email: ____________________

Phone: ___________________________ Alternate Number: _____________________

Sets of Postcards Desired ($2 per set of 20): ___________________________________

Please Circle Nights You Are Registering For: Thursday                 Friday       Saturday

Primary Items to be sold:

1.) ____________________________________ 2.) __________________________

3.) ___________________________________ 4.) __________________________

5.) ___________________________________ 6.) __________________________

This agreement is effective upon approval of Bedford Parks Department.

Vendor has read the information sheet for the Holiday Bazaar. Vendor hereby agrees to release,
hold harmless and indemnify the City of Bedford, its employees, officers, agents, and assigns
thereof, from any and all claims, demands, rights of action, or liabilities of any nature, including
personal injury or property damage, which arise out of, or are in any way connected to, the
performance of this event. Vendor is physically and mentally able to participate in the program.
Vendor may be photographed and videotaped while participating in Parks and Recreation
activities, and consent is given for the reproduction of such photos or videos for advertising and
publicity.

________________________________                                       __________________
Primary Vendor’s Signature                                                    Date


For Office Purposes Only Received________ Approved_______ Denied______

______________________________________
Parks & Recreation Staff Signature