CONTACT:
The Fortville/McCordsville
Chamber of Commerce Office
Phone: (317) 448-1034
Email: chamber@fortvillemccordsville.com

Visit: [http://www.FortvilleMcCordsvilleChamberOfCommerce.com]

July 18-20, 2008 at Mt. Vernon Schools,8414 N 200 W, Fortville, IN

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Downlaod this Application 1/ Downlaod this Application 2

VENDOR SIGN-UP:

**Booths must be set up by 5pm on Friday, July 18, 2008 and remain up until 3pm on Sunday, July 20, 2008**

INFORMATION:

Orgainization Name Company Name

- -

Address #1 Address #2
State Zip
Country Phone Number

Email Address

 


 

PAYMENT(Choose one):


(Optional) Paypal E-mail Address


SECTION 1 (ELECTRICITY ONLY):

VOLTAGE

(VAC/60Hz

AMPERAGE

(Amperes)

MAXIUM ALLOWED LOAD

(Watts)

NOTES

(See Below)

Plug Configuration

Price per Connection ($)

Number of Requied Connections (MAX of 2)
Extended Connection Price
120 VAC
15 A
1440 W
1,2,3,4
5015P (Standard Grounded Plug)
$15
120 VAC
20 A
1920
1,2,3,4
L5029P (Locking)
$20
240 VAC
30 A
5760 W
1,3,4
L6-30P
$30
120/240 VAC
50 A
9600 W
1
14-59 P
$50
  Total Due:

NOTES

(1) Vendor shall be responsible to supply designated NEMA Plug(s) for their connections in safe and good operation condition. Forville/McCordsville Area Chamber of Commerce (CofC) is ot responsible for vendor equipment which is incompatible (due to design ot malfunction) with any power supply or distrubution equipment safety devices. If any vendor equipment casues actibation of these safety devices, the vendor will be required to disconnect the offending equipment from the event power supply without recourse against the Cofc, it's suppliers or associated individuals.

(2) All 120 VAC Receptacles are GFCL (Ground Fault Circuit Interrupter) Protected.

(3) If vendor equipment requires both 120 VAC and 240 VAC/15 A connections, the 120/ 240 VAC - 50 Amp connection will be required. All vendor connections, distribution and equipment must conform with current NEW (National Electrical Code) requirements, including NEC GFCI requrements.

(4) If vendor equipment requires more than two (2)- 120 VAC/15 A connetions, more than two (2)- 120 VAC- 20 Amp connections or more than one (1)- 240 VAC -30 Amp connevtions, the 120/240 VAC -50 Amp connection will be required. All vendor connections, distributions and equipment must conform with the current NEw requirements, including NEC GFCI requirements.

 


SECTION 2:

ITEM
DESCRIPTION
ITEM PRICE
QUANTITY
EXTENDED PRICE
BOOTH
12 X 12
$45

POTABLE WATER

SINGLE CONNECTION
$10

ELECTRICITY

 

(COMPLETE SECTION 1)
TOTAL FROM SECITON 1
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