FFWF Wine and Spirits Registration Form

Event Date: Saturday, September 20, 2025

Time: 12:00 PM - 5:00 PM

Event Location: The Quad at Queens College, 65-30 Kissena Blvd, Queens, NY 11367

Contact us at (516) 343-5385 or nm spr90@gmail.com

To ensure your permits are validated in a timely fashion, kindly complete this form by: July 31, 2025

Today's Date*

Date

Company Name*

Your Full Name*

First NameLast Name

Email (Contact for person filling out the form)*

example@example.com

Contact Phone Number*

Please enter a valid phone number.

Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Are you the contact person for this business?*

YesNo

Contact Name*

First NameLast Name

Contact Email*

example@example.com

Please note that pursuant to New York State laws, a New York State Marketing and Representative Permit is required for participation of vendors at the Flavored Food and Wine Festival. Please contact Ms. Tonda Ladson at (516) 343-5385 for questions and concerns.

https://sla.ny.gov/permits-available-online

Please upload a copy of your company's New York State Marketing Permit below.

Please note that pursuant to New York State laws, a New York State Transporation Permit is required for all vendor shipments into the State of New York. Please contact Ms. Tonda Ladson at (516) 343-5385 for questions and concerns.

https://sla.ny.gov/permits-available-online

Will you be shipping products to the Festival prior to Saturday, September 20, 2025?*

YesNo

Shipping Date, if known

Date

Carrier Name, if known

Carrier Tracking Number, if known

Expected Date of Shipment Arrival

Date

Will your company cover the cost of shipping?*

YesNoUnknownWill update at a later date.

Please contact Ms. Tonda Ladson at (516) 343-5385 for further instructions.

Please provide an accurate and detail description of the wine and/or spirits product(s) that your company will provide for the Festival. Be sure to include food pairings with each item as appropriate. (i.e. dessert, poultry, beef, etc.) *

Will you have a company representative at the Festival?*

YesNoUnsure at this time

If you answered yes to the question above, please provide the name and contact information of the company representative that will be attending the Festival.

*Please contact Ms. Tonda Ladson at (516) 343-5385 for further instructions.

Please upload your company logo.*

Social Media handles (i.e. Instagram and Facebook)*

Website address*

By signing below, you agree to participate in the FLAVORED Food and Wine Festival (FFWF) on September 20, 2025, and comply with all event regulations and guidelines provided by The Pearls and Ivy Foundation of Queens, Inc. and Queens College. I hereby grant The Pearls and Ivy Foundation of Queens, Inc., permission to use my likeness and/or the company profile and media print in a photograph, video, or other digital media ("photo") in all its publications, including web-based publications, without payment or other forms of compensation.

I understand and agree that all photographs and videos will become the property of The Pearls and Ivy Foundation of Queens, Inc. and shall not be returned. (Initial here below)

Initials*

I hereby irrevocably authorize The Pearls and Ivy Foundation of Queens, Inc., its representatives, directors, officers, assignees, staff to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photographs and or video.

I hereby hold harmless, release, and forever discharge The Pearls and Ivy Foundation of Queens, Inc and Queens College, its successors, assigns, employees, from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf may have or may have by reason of this authorization.

Agreement and Signature*

Printed name of Signatory*

First NameLast Name

Wine and Spirits

SHIPMENTS

MARKETING AND PROMOTIONS

I understand and agree that all photographs and videos will become the property of The Pearls and Ivy Foundation of Queens, Inc. and shall not be returned. (Initial here below)