Hall G - Exhibitor Application Form 2019 This application form is only for those interested in exhibiting in the Prairie Pine Emporium (Hall G).(For all other exhibitors, please use this form.) Space is limited. There are 7 sections to this application form. Please fill out all required (*) fields. 1. BUSINESS & CONTACT INFORMATIONLegal Business Name:*Operating Name:*Contact Person:* First Name Last Name Mailing Address:* Street Address City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Website:Enter website url (http://website.ca or www.website.ca)Social Media HandlesFacebook:Twitter:Instagram:Email:* Enter Email Confirm Email Business Phone Number:*Cell Phone Number:Onsite Contact (Fill out if different from Contact Person): Check here if the Onsite Contact is the same as the Contact Person Onsite Contact:* First Name Last Name Onsite Phone Number:*Onsite Email:* GST Registration Number:*YesNoIf Yes, enter GST Registration Number:*If you ARE NOT a C.A.F.E. member there is a $25 charge per exhibitor.Are you a Canadian Association of Fairs and Exhibitions (C.A.F.E) Member?*YesNoIf Yes, enter Member Number:*2. EXHIBIT & PRODUCT INFORMATIONExhibitor Handbook - For more information and pricing please refer to the Hall G - Exhibitor Handbook. There are two options to take part in this showcase: Your own space for the 10-days of K-Days (10x10 booth or 20x10 booth) OR You can have your items sold in the curated Mixed Vendor Marketplace (for a 50% commission of the final sale price of each item)I would like to apply for:*Please select an exhibit option. 10 x 10 booth ($1,000) 20 x 10 booth ($2,000) Mixed Vendor Marketplace How many exhibit spaces are you applying for?*Please enter a number greater than or equal to 1.Are any of your exhibits a Concessionaire?*(Food and/or beverage products)YesNoTell us about your products:*Check all that apply. Alberta Liquor Manufacturer Books & Writing Candles Cards Children's Clothes Children's Toys Crochet or Knit Edible Items Furniture Hand dyed or Hand Spun Wool/Yarn Home Decor Jewelry Journal/Planner/Calendar Maternity Men's Clothing Paintings Pet Stuff Photography Pottery Soap/Makeup/Body Products Supplies Vintage or Upcycled Wallets/Handbags Women's Clothing Wood Signs Other If other, please specify your product(s):*Website link to store or photo gallery:*Please provide url to online store or where we can see pictures of your work.Provide any additional comments or requests:3. SERVICES & INSPECTION COSTSWhat services do you require?*Please check all that apply. a. Waste Management (Mandatory for All Exhibitors) b. Water/Sewer Hook Up? c. Electrical Inspection d. Fire Inspection (Mandatory for Concessionaires) e. Grease Traps (Mandatory for Concessionaires) a. Waste ManagementMandatory for all exhibits.Number of Exhibits(from section 2)Waste Management Fee Total(# of exhibits x $50)b. Water/SewerEnter the number:*(Exhibits and/or Onsite Truck & Trailer Campers requiring hook up.)Water/Sewer Hook Up Fee Total(qty x $300)c. ElectricalEnter the number:*(Exhibits and/or Onsite Truck & Trailer Campers requiring power.)Electrical Inspection Fee Total(qty x $60)d. Fire InspectionConcessionaires only - exhibit to be inspected by the Edmonton Fire Department to ensure it is meeting fire safety requirements. Mandatory fee of $60 per booth inspection.Enter the number:*(Exhibits that are concessions from which you are serving food and/or beverage.)Fire Inspection Fee Total(qty x $60)e. Grease TrapsConcessionaires only - The City of Edmonton bylaw requires a grease trap connected to all waste water hookups. Mandatory grease collection fee of $220 per booth.Enter the number:*(Exhibits that are concessions from which you have a grease trap.)Grease Collection Fee Total(qty x $220)C.A.F.E FeeIf you ARE NOT a C.A.F.E member:There is a $25 charge per exhibitor.4. ACCREDITATIONYou will receive two (2) complimentary 10-Day Accreditation for every booth purchased. Each of your staff must have a valid, non-transferable, Accreditation Pass for each day they operate the Exhibit.Do you require additional Accreditation Passes?* 1-Day Accreditation Pass ($12 per pass) 10-Day Accreditation Pass ($78 per pass) N/A 1-Day Accreditation Pass ($12 per pass)*Enter quantity.1-Day Pass Totalqty x $1210-Day Accreditation Pass ($78 per pass)*Enter quantity.10-Day Pass Totalqty x $785. PARKINGYou will receive one (1) complimentary 10-Day General Parking Pass for each booth space you purchase. Overnight parking is not permitted. To order more parking passes, please visit the Exhibitor page for online order form, under the Documents for Exhibitors - Order Forms.6. INSURANCEUpload Certificate of Insurance:If you have your certificate of insurance, please upload it here. Otherwise your certificate of insurance is due to Northlands no later than June 14, 2019 at 4 p.m. MST. Maximum file size: 2MB Drop files here or Accepted file types: jpg, doc, docx, pdf. Northlands may, in its sole discretion, request that you have in force CGL in excess of $2,000,000, ranging from $5,000,000, $10,000,000 or other depending on the risk of your operations. This insurance shall name "Edmonton Northlands", the "City of Edmonton" and "Edmonton Economic Development Corp." as additional insureds. 7. TERMS & CONDITIONSTerms and Conditions or the Exhibitor and Concessionaire Handbook may change at any time and without notice to you. In the event such changes are made, the newest version of these documents will apply. Please read and understand the Terms and Conditions, and sign the Application form. By checking off the boxes below and submitting, you are accepting the Terms and Conditions.Terms & Conditions*Upon the approval of this Application by Northlands, at its sole discretion, the Applicant is hereby bound to the obligations contained in this Application, as well as the obligations contained in the Handbook and the Terms and Conditions attached hereto. I agree to the Terms & Conditions.Signing & AcceptingBy checking off this box and submitting the Application, I am signing the Application form and accepting the Terms and Conditions. I agree.