Wine Festival Vendor Application

Printable Vendor Application
Vineyard/Winery Name*
Vineyard/Winery Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Website
Email*
Owners*
Wine Makers*
Winery/Vineyard Info/Description
Where is your wine currently available?*
Where do you currently advertise?*
VENDOR ASSUMES ALL RISK OF AND AGREES THAT THE CITY OF ELIZABETHTOWN SHALL NOT BE LIABLE FOR ANY DAMAGE TO PROPERTY OR INJURY TO OR DEATH OF ANY PERSONS INCLUDING WITHOUT LIMITATION, VENDOR, EMPLOYEES, INVITEES, PATRONS OR AGENTS IN, ON OR ABOUT THE PREMISES. FURTHER, VENDOR AGREES TO INDEMNIFY AND HOLD HARMLESS THE CITY OF ELIZABETHTOWN, ITS EMPLOYEES, SPONSORS, AGENTS & DIRECTORS AND OFFICERS FROM ANY AND ALL CLAIMS, DAMAGES, LOSSES AND EXPENSES WHICH MAY ARISE IN THE USE OF SAID PREMISES.

Rules & Regulations
Signature
I would like field passes for employees working within my booth.*
- Yes
- No
These passes are for workers only and may not be used for guests to gain complimentary event admission.
Number of field passes needed:*
Please enter a number from 0 to 20.
Description of Offerings
Each vineyard may choose and serve up to 10 different wine selections, minimum of four selections. Please use the fields below to describe your selections.
How many wines will you be serving? (minimum of 4)*
WINE 1
Wine Name - 1*
Wine Year - 1*
Wine Description - 1*
Price Per Bottle - 1*
WINE 2
Wine Name - 2*
Wine Year - 2*
Wine Description - 2*
Price Per Bottle - 2*
WINE 3
Wine Name - 3*
Wine Year - 3*
Wine Description - 3*
Price Per Bottle - 3*
WINE 4
Wine Name - 4*
Wine Year - 4*
Wine Description - 4*
Price Per Bottle - 4*
WINE 5
Wine Name - 5*
Wine Year - 5*
Wine Description - 5*
Price Per Bottle - 5*
WINE 6
Wine Name - 6*
Wine Year - 6*
Wine Description - 6*
Price Per Bottle - 6*
WINE 7
Wine Name - 7*
Wine Year - 7*
Wine Description - 7*
Price Per Bottle - 7*
WINE 8
Wine Name - 8*
Wine Year - 8*
Wine Description - 8*
Price Per Bottle - 8*
WINE 9
Wine Name - 9*
Wine Year - 9*
Wine Description - 9*
Price Per Bottle - 9*
WINE 10
Wine Name - 10*
Wine Year - 10*
Wine Description - 10*
Price Per Bottle - 10*
Booth Fee*
Price: $125.00
Online Processing Fee*
Price: $0.00
Total
$0.00
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name

Description of Offerings

WINE 1

WINE 2

WINE 3

WINE 4

WINE 5

WINE 6

WINE 7

WINE 8

WINE 9

WINE 10

City of Elizabethtown