Marketplace on the Plaza Vendor Application "*" indicates required fields Name First Last Business Name* Business Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* PhoneWill you need an electrical hookup?* Yes No Product ListEnter each of your products separated by a comma. Example: Lettuce, Strawberries, Carrots Dates you would like to vendVendor spaces are approximately 10x10. Vendors who reserve space for back to back weeks will will keep same space and be able to leave product in place. Price: Dates Thursday, November 30th, 4-8pm (9 spots remaining) Thursday, December 7th, 4-8pm (8 spots remaining) Thursday, December 14th, 4-8pm (8 spots remaining) Thursday, December 21st, 4-8pm (8 spots remaining) Agreements* I understand that my application and product must still be approved at the sole discretion of the event coordinator. If my product is not approved I will receive notification and a full refund of fees paid. I understand that products will be limited in each category and that application approval is at the sole discretion of the event coordinator I confirm that all of my products are hand made by me, or my business, in Tillamook County I understand that to sell additional products not listed on my original application must be approved in writing by the event coordinator prior to the event; and that products not approved or seasonally appropriate will be required to be removed prior to the event (no refund will be given in this case) I acknowledge that all products must be seasonally appropriate for the event I agree to indemnify and hold harmless the Tillamook Chamber of Commerce and their employees, representatives and agents from and against all liability, claims, demands, losses, damages, levies and causes of action or suits of any nature whatsoever, arising out of or related to my activities at the event I acknowledge and accept liability, responsibility and control for all products that are sold by me at the event, and for all activities conducted by me in conjunction with the event. I have/will obtain all required licenses for my product (i.e. Tillamook County Health Department, Department of Agriculture, OLCC) Total Credit Card Cardholder Name Card Details Submit Application To submit your application, you'll need to check all the permissions and agreements above.PhoneThis field is for validation purposes and should be left unchanged.