Business Name *

First Name

Last Name

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

Please provide your mobile # (where you may be reached during event)

(###)

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Event(s) *

Please select the event(s) for which you are applying to vend

Saturday Market at the Port

Brookings Oktoberfest

Photos *

By selecting this box I agree to send photos of my products to events@chetcobrew.com

In order for my application to be approved, I understand I need to send photos of my product(s) via email

Insurance Information *

By checking this box, I agree to provide insurance as follows: Vendors must provide insurance information with application (no limits lower than $1,000,000). Additional insureds required: Brookings Brewing Company dba Chetco Brewing Company 16883 Yellow Brick Rd & Port of Brookings Harbor 16340 Lower Harbor Rd Brookings OR. Please be sure to include proper dates of the events.

I agree to provide an insurance policy with both co-insureds

Set up & Tear Down *

By checking this box, I understand that set up and tear down times vary per event. I will be provided that information at the time my application is approved and I am provided a link for payment.

I agree to abide by specific event set up & tear down requirements

Today's Date *

MM

DD

YYYY