Kensico Opportunity is CLOSED as of today - May 12th 3PM

Mamapalooza 2011

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Name *
E-mail Address *
Phone *
Name Of Business *
Business Website
Address *
Brief Description of Business or Service *
	May 14 (Sat) Kensico Dam Valhalla, NY
	May 22 (Sun) Summer On The Hudson, NY
	May 28 Southern New Jersey, Collingswood (May ? Raindate)
Type Of Participation *	Corporate or Media Sponsor (Contact Suzanne.Dawson@mamapalooza.com for fees) $325 Individual Small Biz (INSIDE Big Tent Kensico Event Only), OR In Front Of Stage in NYC l N/A Collingswood) $175 Vendor ~ Small or Women Owned Business $100 Non-Profit $100 Truck Food Court $50 Food Court l Farmers Market (Kensico Dam Only)
	We would like to reserve one 10x10 space (We understand we will supply tent, *weights for tent, table and chairs - no refunds regardless of weather) *
	I understand set-up is between 8-10 AM and that all vehicles must be off premises by 10:30 AM sharp! I have read this, and agree to a timely set up onsite the day of event. *
	I confirm that I have vendor, business or some other applicable insurance and/or a policy that covers my participation in this event (Please bring a copy of this to event) *
	I the applicant agree to indemnify, hold harmless, to protect & defend The New York & Westchester Parks Depts., Mamapalooza Inc (including subsidiaries, officers, directors, employees, counsel) from any and all claims by any person or entity for loss or damage to property and for personal injuries including death, which may arise out of the negligence or willful misconduct of myself, employees, agents & contractors directly or indirectly in connection with my booth, performance & presentations. *

I have read and agree to the Privacy Policy *

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 Thank You For Your Participation! Space Is Limited! First Come, First Serve! Pay Online OR Send Check To: