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DocuSign Envelope ID: 91105148 -EB98- 4829- B9E5- 9B605B5A1416 <br />VENDOR APPLICATION <br />VENDOR NAME: Richard whorton <br />Primary Contact Person: Richard whorton <br />Address: 7805 Mary Hall Rd <br />Telephone: <br />Website <br />PRODUCTS / DISPL AY <br />_ City: Rougemont <br />Email Address: <br />State: NC Zip: 27572 <br />rwdorper @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 />none <br />Electrical generator needed? Yes No X <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 />Docu5igned by: <br />Signature of Applicant: -Date: 8/25/2018 <br />- - 93C562�286684D5... <br />Print Name: <br />