RUSSELL AGRICULTURAL SOCIETY

Food Concession Application and Contract 2011

Name___________________________________________________________

Address_________________________________________________________

Postal Code_______________Telephone_____________Cell_______________

email address_____________________________________________________

Types of foods  to be sold___________________________________________

BEER GARDEN(includes hydro)  $500.00    _______________________

FOOT FRONTAGE REQUIRED(must include trailer hitch)

                                                  ______# of ft x $20.00=_____________

Additional trailers__________________________________________

HYDRO REQUIRED      ____15 AMP 120 VOLT    $20.00=___________

                                       ____20 AMP 240 VOLT    $30.00=___________

                                       ____30 AMP 240 VOLT    $45.00=___________

                                       ____40 AMP 240 VOLT    $75.00=___________

                                       ____60 AMP 240 VOLT  $120.00=___________

                              TOTAL(FOOTAGE AND HYDRO )    =___________

ENCLOSED_____Payment

_____$2,000,000 Certificate of Insurance naming the Russell Agricultural
            Society as an additional insured

_____Photograph of concession(all new concessions)

I agree to the previous page terms and conditions of this agreement with the  Russell Agricultural Society.  I agree to accept the space allotted to me.

Payment must accompany this signed contract or the contract will not be accepted.

Signature_________________________________________________

Questions regarding this application and the location of concession spaces should be directed to Gerry Wever at 613-445-0904 or Beth Ruiter at 613-445-5744.