Vendor Packet - Ventura County Star
Vendor Packet - Ventura County Star
Vendor Packet - Ventura County Star
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
INSURANCE OPTION #1<br />
Deadline: Friday, October 26, 2012<br />
Questions? Julie Lopez, 805-437-0446 or jlopez@vcstar.com<br />
INSURANCE IS MANDATORY FOR ALL WOMEN TODAY EXHIBITORS<br />
When you purchase this option, the California Fair Services Authority provides exhibitor<br />
insurance as part of a pooled risk program. This program meets the insurance requirements<br />
for Women Today detailed in the Official Terms & Conditions on your Women Today contract,<br />
item #11. This option is provided as a courtesy to those exhibitors that do not otherwise have<br />
insurance coverage.<br />
Check One:<br />
Commercial <strong>Vendor</strong> Event Insurance $50<br />
Food <strong>Vendor</strong> Event Insurance $60<br />
Exhibitor Name: ___________________________________________________Contact Name: ____________________________<br />
Address: ___________________________________________________________________________________________________<br />
City: _____________________________________________________________ State: ______________ Zip: _________________<br />
Telephone #: ________________________ E-mail Address: _________________________________________________________<br />
Payment Method (check one): Check Cash MC/Visa Amex DC Bill my VCS account<br />
Card #: ___________________________________________________________ Exp. Date: _______________________________<br />
Name on card (please print): __________________________________________________________________________________<br />
Signature: __________________________________________________________________________________________________<br />
Fax your request to 805-437-0465 or email it to jlopez@vcstar.com by Friday, October 26, 2012. Please make checks payable<br />
to <strong>Ventura</strong> <strong>County</strong> <strong>Star</strong> - Women Today and mail to <strong>Ventura</strong> <strong>County</strong> <strong>Star</strong> - Women Today, P.O. Box 6006, Camarillo, CA 93011.<br />
WT2012_Insurance Request Form Option #1 8/2/2012 Page 1 of 1