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DocuSign Envelope ID:7D0133B0-9418-4112-B483-228A21372AAB <br /> VENDOR APPLICATION <br /> VENDOR NAME: Five Points Rounders <br /> Primary Contact Person: Tracy Lafleur <br /> Address: 303 W Margaret Lane City: HILLSBOROUGH State: NC Zi p: 27278 <br /> Telephone: Email Address: sugarhillproduce@gmail .com <br /> Website: <br /> ACTIVITIES—PRODUCTS—DISPL AY <br /> List ALL of the products which you will be displaying or sellinq AND/OR activities you will be performinq durinq the <br /> Orange County Local Fest. Vendor locations will be assigned based on this list. Food vendors only—attach full menu. <br /> SQUARE DANCE <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. <br /> understand this Orange County sponsored event may be canceled at any time for any reason and in the event <br /> of such cancellation any contract I may enter with Orange County related to this event will be voidable by <br /> Orange County. I 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 /> i-DocuSigned by: <br /> Signature of Applicant: l (AA Date: 9/12/2018 <br /> 32C1756D5247471... <br /> Print Name: <br />