Vendor Request Form Potter Event Name * First Last * Last Company (Please indicate how you wish to be identified in advertisements) Phone * Email * Category * Potter Candle Maker Food Vendor Other (please explain) Other Vendor Description Do you want to provide a live demonstration of your craft? Yes No If “Yes” please provide a description of what your demonstartion will entail, i.e. how to throw a vase, mold a figure, dip a candle, etc. Demonstartions should be no longer ath 12 minutes in length. Table Options – You will be invoiced after you request has been accepted. * $35 – I Have My Own Table $50 – I Need a Table (10 ft) and Table Covering Consent to Photograph /Videotape / Interview Individuals Terms & Conditions I hereby agree and give my permission for Charlotte Profiles in Color (Charlotte PinC) and/or partners to record, film, photograph, audiotape, or videotape myself (hereinafter collectively referred to as “Works”) and to display, publish or distribute these Works for the purpose of publishing, posting on the Charllotte PinC website and posting on social media sites. I hereby waive any right to approve the use of these Works now or in the future, whether the use is known to me or unknown, and I waive any right to any royalties related to the use of these Works. I understand that the Works may appear in electronic form on the internet or in other publications outside of the Charlotte PinC’s control. I agree that I will not hold Charlotte PinC responsible for any harm that may arise from such unauthorized reproduction. I AGREE If you are human, leave this field blank. Submit
