|CUMULUS JOB FAIR
Tuesday, October 06, 2015 4-7pm
Destiny USA-3rd Level
VENDOR BOOTH APPLICATION
$100 (Booth Fee)
Please return completed vendor form along with payment by to Cumulus Syracuse. Forms of payment accepted are checks made out to Cumulus Syracuse or MasterCard/Visa. NO CASH ACCEPTED.
Vendors will be accepted on a first come first serve basis until booth space is sold out.
PLEASE SEND FILLED OUT PAPERWORK AND PAYMENT TO THE ATTENTION OF
JANICE COLE. E-mail to Janice.email@example.com. Fax to 315-478-5625. Or mail or drop off in person to Cumulus Radio 1064 James Street, Syracuse, NY 13203.
Full Name: _______________________________________________________________
Contact Person: _______________________________________________________________
Phone: Business ( ) __________Home ( ) _____________Fax: ( ) ___________
New York State Sales Tax Number (if applicable):___________________________________
Explain in detail what you will be recruiting for: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________
You will be provided with a 6 foot skirted table and 2 chairs. You may bring additional tables and set ups as long as they fit into your allotted space.
*YOU MUST PROVIDE ALL OTHER TABLES, CHAIRS, BACKDROPS, ETC. FOR YOUR AREA. All ITEMS MUST STAY IN THE ALLOTTED AREA DESIGNATED FOR YOU.
_______________________________________ ______/_______/______ _____________________________________________________ _____/______/_____
Client Date Cumulus Media Syracuse Date
All programs are subject to availability and final approval by the Cumulus Syracuse.
The information and concepts set forth in this presentation are proprietary.
Their use is contingent upon a written agreement between Cumulus Syracuse and its client(s).
Likewise, they may not be copied, reproduced or otherwise divulged to any third party
without the express written permission of the Cumulus Syracuse.
Cumulus Syracuse 1064 James Street, Syracuse, New York 13203
315-472-0200 fax: 315-472-1146
The individual or entity named below (“Vendor”) hereby agrees that it will not hold liable ShoppingTown Mall NY LLC, Moonbeam Equities XI and radio station(s) WAQX, WNTQ, WSKO, WXTL Cumulus Media Inc., its subsidiaries, affiliates, members, directors, officers, employees and agents (the “Cumulus Parties”) for any loss, injury or damage to Vendor’s property or the Vendor’s employees, representatives or agents, due to fire, theft, accidents, or any cause whatsoever that may arise or occur in connection with Vendor’s participation in the “Syracuse’s Largest Indoor Garage Sale” event being held on September 26, 2015 at ShoppingTown Mall, Dewitt, NY (the “Event”).
Vendor hereby covenants and agrees to indemnify and hold the Cumulus Parties harmless from and against any and all claims, liabilities, losses and costs (including reasonable attorneys’ fees) arising from or in connection with Vendor’s participation in the Event (meaning, without limitation, Vendor’s acts and omissions or the acts or omissions of Vendor’s employees, affiliates or representatives) and any products and services provided by Vendor in connection with the Event.
CREDIT CARD AUTORIZATION FORM
Station/Market: SYRACUSE Salesperson:
Customer/Business Name and Acct # ________________________________________________________________________
Transaction Date: ____________ Transaction Amount: _________________
Credit Card Type: Visa - Master - Discover – Amex
Expiration Date: _________
Card Number: ____________________________________(16 digits 15digits for Amex)
CVV2/CID Number: ______________________________ (3 digits or 4 digits for Amex)
Card Holder’s Name (as it appears on credit card):
Name: _______________________________________________________________ Phone:________________________ Email:_________________________________________
Card Holder’s Billing Address (as it appears on card holder’s credit card statement):
Street 1: ________________________________________________________________________
Street 2: ________________________________________________________________________
City: __________________________________ State:_____________ Zip Code: ______
Purchasing Card Customers Only:
Customer or Accounting Code: ______________________________________________
Customer Authorization and Signature
By signing this authorization, I authorize Cumulus to charge my credit card in the amount of the total shown above. If the company is unable to process my payment, I will be responsible for an alternate payment arrangement and any late fees which result.
By signing this authorization, I acknowledge that I have read and agree to all of the above and all information given is complete and accurate.
Cardholder’s Signature Title Date
Business Office Use Only:
__________________________ Approval/Declined Code