Online Vendor Form Please fill out this form to secure your spot at the Houston Hot Sauce Festival. Any questions can be directed to email@example.com Company Name*Contact Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*FaxEmail* Website Vendor Type*Hot Sauce/ Fiery Food ExhibitorFood ConcessionMisc./RetailPlease list all appliances you intend to use for cooking/warming* List all items you wish to sell* Company Description* Name Tags List 2 names you would like name tags forBooth Reservations12' x 12' Spaces Price: $640.00 Quantity: Electrical Outlets Price: $50.00 Quantity: Additional Feet Price: $10.00 Quantity: 12' x 12' Spaces Price: $550.00 Quantity: Electrical Outlets Price: $50.00 Quantity: (10 amp outlets available)12' x 12' Spaces Price: $250.00 Quantity: If you do not require a booth, please enter "0"12' x 12' Corner Spaces Price: $500.00 Quantity: Electrical Outlets Price: $50.00 Quantity: If none are required, please enter "0"Total $0.00 Credit Card* American ExpressMasterCardVisa Card Number Month010203040506070809101112 Year20152016201720182019202020212022202320242025202620272028202920302031203220332034 Expiration Date Security Code Cardholder Name Release of Liability/Hold Harmless: Exhibitor releases sponsor from any and all injury, liability, loss or damage that may occur to property or self, while on the premises. Insurance must be placed and paid for by the Exhibitor/Vendor. The festival organizers reserve the right to ask an Exhibitor/Vendor to leave the grounds if the regulations and rules are not kept, and refunds will not be made to the Exhibitor/Vendor in this case. Exhibitor assumes total liability due to non-compliance of City of Stafford Health and Human Services Department and/or City of Stafford Fire Marshall laws at the Houston Hot Sauce Festival, September 19 – 21, 2014, at the Stafford Centre, 10505 Cash Road, Stafford, TX 77477. Exhibitor is responsible for any actions and/or fines imposed on the Houston Hot Sauce Festival on Exhibitors behalf and agrees to pay any fines imposed for such violations. Exhibitor, hereby agrees to indemnify and hold harmless HotStuff, Inc. dba Houston Hot Sauce Festival for any action or liability which may arise from the event.