Date *

MM

DD

YYYY

Name *

First Name

Last Name

If liquor is served, the city of Hackensack requires that you provide NAC with a copy of your liquor license. NAC will provide a one day permit to sell through the city of Hackensack. NAC will provide a fenced off area and monitor the area *

I acknowledge

Please submit at least two and up to 4 pictures of your product to help us accurately list you in our promotional materials and social sites I give permission for the use of my photos to be used as part of my listing for social media and promotional materials *

I give permission to the Northwoods Arts Council to use my photos for promotional purposes.

Northwoods Arts Council, the City of Hackensack, or anyone connected with the Northwoods Arts Council assumes no risk or liability for loss, damage or injury to person or goods arising from participation in subject event. I verify the information I am submitting is accurate to the best of my knowledge. I understand that no refunds are available once my application has been accepted. The exhibitor is responsible for obtaining insurance, if so desired. *

I acknowledge.

I will set up on: *

Friday 3 pm - 6 pm

Saturday 6 am - 8:30 am

Your application will not be processed until both application and ST-19 Forms with payment are received. You will be contacted to confirm your application. *

I acknowledge

Date *

MM

DD

YYYY

Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

By clicking below you acknowledge our requests for hours of set up and tear down. *

I acknowledge

I will set up on: *

Friday - 3 pm - 6 pm

Saturday - 6 am - 8:30 am