Get De Anza College Flea Market Form

The vendor also agrees to hold the Foothill-De Anza Community College District its governing board the individual members thereof and all district officers agents and employees free and harmless from any loss damage liability cost or expense that may arise during or be caused in any way by such use or occupancy of school property. NAME typed or printed TITLE SIGNATURE DATE Required to access records. We cannot accept application without this information. CLEAR PRINT Instructions Mail in the following items postmarked on or after the first of the month for the following month s DASB Flea Market only to the address at the top of the page e.g. postmarked on December 1 or later for the January market 1. VENDOR PROMISE In order to persuade the Flea Market Operator to allow me entrance and use of a stall any assignees and I promise to read accept and adhere to the DASB Flea Market Regulations see Regulations available online at and agree that if my assignees or I violate any of these regulations the Flea Market Operator has the absolute right to immediately terminate my status as an approved vendor eject me from the premises and refuse to allow me to reenter as a vendor. The vendor also agrees to hold the Foothill-De Anza Community College District its governing board the individual members thereof and all district officers agents and employees free and harmless from any loss damage liability cost or expense that may arise during or be caused in any way by such use or occupancy of school property. DASB FLEA MARKET 21250 Stevens Creek Blvd. Cupertino CA 95014 408 864-8414 www. deanza*edu/fleamarket FleaMarket deanza*edu APPLICATION RENEW/UPDATE THIS FORM ONLY ONCE EVERY TWELVE 12 MONTHS OR IF YOUR INFORMATION CHANGES WHICHEVER COMES FIRST PLEASE TYPE OR PRINT CLEARLY AND FILL OUT COMPLETELY INCOMPLETE OR ILLEGIBLE FORMS MAY NOT BE PROCESSED. VENDOR INFORMATION Partners/additional sellers complete a separate copy of this form DRIVER LICENSE NUMBER OR STATE ID NUMBER AND STATE VENDOR S NAME BUSINESS NAME IF APPLICABLE MAILING ADDRESS street number or P. O. box city state and zip code DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS TYPE OF BUSINESS DESCRIPTION OF ITEMS TO BE SOLD/DISPLAYED STATUS Check appropriate boxes and provide requested information see Registration Procedure Steps for help I hold a valid seller s permit. My number is S No sales of tangible personal property are being made or solicited at this event. I am not required to hold a seller s permit because My sales are exempt occasional sales used household ONLY My retail product sales are not subject to tax i*e* Non-Profit I sell on behalf of a section 6015 retailer i*e* Tupperware Avon CERTIFICATION The above statements are certified to be correct to the best knowledge and belief of the undersigned* I also certify that I will adhere to the Vendor Promise. VENDOR PROMISE In order to persuade the Flea Market Operator to allow me entrance and use of a stall any assignees and I promise to read accept and adhere to the DASB Flea Market Regulations see Regulations available online at and agree that if my assignees or I violate any of these regulations the Flea Market Operator has the absolute right to immediately terminate my status as an approved vendor eject me from the premises and refuse to allow me to reenter as a vendor.