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DocuSign Envelope ID: B996D568- BB53 -4D36- 8910- 125F432C05E0 <br />VENDOR APPLICATION <br />VENDOR NAME: Cornel i o Campos visual artist <br />Primary Contact Person: _ <br />Address: 1910 Taylor St <br />Telephone: <br />Website <br />PRODUCTS / DISPL AY <br />Cornelio Campos <br />Durham <br />City: <br />State: NC Zip: 27703 <br />Email Address: campos.cornelio@gmail.com <br />List ALL of the products which you will be displaying or selling during the Orange County Local Fest. Vendor locations <br />will be assigned based on this list. <br />FOOD VENDORS SHOULD ATTACH THEIR FULL MENU. <br />Art work shop <br />Electrical generator needed? Yes No <br />SIGNATURE / ACKNOWLEDGMENT <br />The applicant understands that this is an APPLICATION for space ONLY, and it is NOT a CONTRACT with Orange <br />County. <br />I have read and understand the Vendor Rules and Regulations in their entirety and will comply with all terms and <br />conditions within. I will make the Rules and Regulations available to all persons operating booths) /stand(s) and <br />ensure their compliance as well. The individual executing below represents to Orange County that such individual has <br />the authority to represent any entity purported to be represented by such individual. By my signature below, I hereby <br />agree to all terms and conditions set above. <br />I understand that Orange County reserves the right to cancel at any time all contracts made with vendors for ANY <br />conduct at any time deemed unprofessional by Orange County that would have resulted in denial of this application. I <br />understand and agree to abide by all applicable local, state, and federal laws. <br />I certify that the information stated in this application is complete and true to the best of my knowledge. <br />OocuSigned by: <br />Signature of Applicant: a-7— Date: 8/23/2018 <br />Print Name: A.F5F54A82572480... <br />