EmailMe Form - Chocolate Bliss Lane Booth Application

Contact Name *

First Last

Email *

Company/Name *

Web Site

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

Fax

### - ### - ####

Proof of Insurance required by March 1, 2024

Number of Booth(s)
$300 for 1 or $400 for 2

Additional 1/2 booth for $125 *

Mail Checks to: Penelope House, Inc. P.O. Box 9127 Mobile, Alabama 36691

Checks payable to Penelope House ... Booths are $300 for 1 or $400 for 2 ... Add a 1/2 booth for $125.

Early Bird registration $250 per booth or $350 for 2 booths - must be paid in full by December 31, 2023.

1 Table and 2 chairs *

Yes

No

Electricity is needed *

Yes

No

We only supply 15 AMPs at 120 volts or a total of 1800 watts. The power source will be within 100 feet of your booth. You must supply YOUR OWN 100 foot - UL approved cord - must be 3 wire #12 - "U" Ground type. Electrical needs that exceed 15 amps will require an additional $40 fee.

You will be responsible for supplying your own set-up and company signage. We encourage the sale of your product and advise that you give samples at your own discretion. Please List your chocolate items to be sold.

Chocolate Items to be Sold
Chocolate Items to be Sold

No Rain Dates ............ No Refunds

I agree to indemnify, protect and defend, and hold Penelope House, its Board of Directors, Officers and Assigns, Mobile Chocolate Festival Committee, representatives, agents, successors, members and employees of each of them ("indemnities") from and against any claims, demands, proceedings, causes of action, suits, damages, liabilities, fines, penalties, cost to comply with court and public agency directives, losses, costs and expenses (including without limitation, attorney's and consultants' costs, expenses and fees, costs of experts, investigation expenses and costs incurred in settling indemnified claims either before and after litigation is commenced) of whatever nature, including allegations of my own, or indemnities', negligence or wantonness in any way related to the Mobile Chocolate Festival.

I have read the Mobile Chocolate Festival Policies, Procedures, and Requirements. I have a copy and will comply with them. *

Sign Name

Proof of Insurance required by March 1, 2024

Checks payable to Penelope House ... Booths are $300 for 1 or $400 for 2 ... Add a 1/2 booth for $125. Early Bird registration $250 per booth or $350 for 2 booths - must be paid in full by December 31, 2023.

We only supply 15 AMPs at 120 volts or a total of 1800 watts. The power source will be within 100 feet of your booth. You must supply YOUR OWN 100 foot - UL approved cord - must be 3 wire #12 - "U" Ground type. Electrical needs that exceed 15 amps will require an additional $40 fee.

No Rain Dates ............ No Refunds

Checks payable to Penelope House ... Booths are $300 for 1 or $400 for 2 ... Add a 1/2 booth for $125.

Early Bird registration $250 per booth or $350 for 2 booths - must be paid in full by December 31, 2023.