July 5th Concessionaire Application and Liability Release Form

Independence Day Celebration on July 5 Concessionaire & Event Vendor Application and Liability Release Form

Deadline: Friday, May 12 at 5 p.m. or until full.
PLEASE NOTE WE ARE NO LONGER ACCEPTING FOOD VENDORS FOR THIS EVENT.

Wednesday, July 5, 2023

6-10 p.m.

Sugg Farm at Bass Lake Park
Please review all vendor information before submitting an application.
I have read and agree to all the terms listed on the vendor information webpage.*

Yes
Contact Name*

First NameLast Name
Business Name*
Cell Number*

Area CodePhone Number
Phone Number

Area CodePhone Number
E-mail*

Confirmation Email
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Type of Vendor- WE ARE NO LONGER ACCEPTING FOOD VENDORS FOR THIS EVENT.*

Event Vendor/Nonprofit Organization
Please list all food items to be sold in your booth, including bottled water and drinks.*
Please select type of booth:*

TentTrailerPush cartFood truck
Please provide dimensions of the above selection (length and width):*
Please select the appropriate vendor type. If you are a nonprofit that is not physically located within the town limits of Holly Springs, please select Commercial Vendor. *

Commercial Vendor ($125 fee)Holly Springs Based Nonprofit Vendor ($75 fee)
Staff Voucher Reimbursements

Reimbursements for staff food vouchers will be mailed as a check. Please complete the following to ensure the arrival of your payment.
Check should be made payable to:*
Check should be mailed to:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Commercial Vendors: Upload certificate of insurance, copy of last inspection, and a copy of you Sales and Use Tax Certificate. Also upload a TFE Permit Application, if required. If you are unable to attach all the documents, you can email them to rachel.porter@hollyspringsnc.gov.

Upload

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Nonprofit Vendors: Upload Wake County Documentation of Exemption Form and tax exempt certificate.

Upload

Cancelof
Electricity is limited. It is recommended to use a generator if you have one available. Do you need electricity? ($30 additional fee)*

YesNo
Type of service:

110220
Number of outlets:
Total Amps:
If you would like to bring a generator, please provide the year, make, and model:
Please describe the product or service you will be providing at the event (i.e. face painting, glow-in-the dark novelties, games, activities, etc.)
Holly Springs based nonprofit organizations participating in July 5 may be eligible to have their fees waived for one booth space. Please submit your 501(c)(3) tax exempt certificate with an address located within the Town limits of Holly Springs.

Browse Files

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I understand that if I am making sales at the event, I am required to post my NC Department of Revenue Sales & Tax Use Certificate for the entirety of the event and submit proper sales tax to NCDOR. By clicking "yes," I am confirming that the Town of Holly Springs has informed me of this requirement.*

Yes
Fees

Commercial Concessionaires $125
Holly Springs Nonprofit Concessionaires* $75
Electricity (concessionaires only, based on availability) $30
Event Vendors** $75
Event vendors will only be accepted if their product/services directly enhance the event such as face painting, glow-in-the-dark novelties, games, activities, etc.

All fees must be paid in full within 1 week of notification of acceptance. Each vendor is responsible for collecting and reporting applicable sales tax. No refunds for withdrawal of application, failure to acquire a TFE permit or exemption through Wake County, or no-shows. This event is rain or shine.

*Holly Springs Nonprofits need to submit their 501(c)(3) tax exempt certificate with an address located within the Town limits of Holly Springs in order to receive the discounted fee.
**Holly Springs Nonprofits wishing to participate in July 5th can have their fees waived for one space. Nonprofits will need to submit their 501(c)(3) tax exempt certificate with an address located within the Town limits of Holly Springs in order for the fee to be waived.
Payment

This form is an online application and liability release only. This does not confirm your participation in the July 5th event. If the application is accepted, the contact person you listed above will be notified with instructions regarding payment. Acceptable forms of payment are Visa, MasterCard, Discover, cash, or check.
Signature below indicates my understanding and acceptance of the terms of this application, the rules and guidelines for event registration and participation, and hereby releases all sponsors, co-sponsors, organizations, or individuals involved with the Town of Holly Springs from any liability, product or personal.
Signature*

Clear
Date*

MonthDayYear
Date
Questions?

Rachel Porter

office: (919)567-4711

email: rachel.porter@hollyspringsnc.gov
Should be Empty:

Independence Day Celebration on July 5 Concessionaire & Event Vendor Application and Liability Release Form