Giveback Vendor ApplicationSaturday, May 7, 2022 • 10 am – 2 pmEarly bird discount ($50) for those who apply by April 8th!Vendor InformationContact Name*Business NameEmail*Phone Number*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Website Please provide a brief description of the goods or services you would like to sell:*All food vendors must be in full compliance with health department regulations and must have the proper permits required.Please upload a photo of your products on display, if applicable.Max. file size: 20 MB.Please upload proof of general liability insurance.To view our insurance requirements, please CLICK HERE.If you'd like to submit your application now and send proof of insurance separately, please e-mail DRadigan@peconiclanding.org.Max. file size: 20 MB.How did you hear about our event?Help us promote you on social media!FacebookInstagramImportant Information - Please ReadVendor Payments*There is a $100 registration fee per table, reduced to $50 for those who apply by April 1st. All fees will directly benefit the Greenport Fire Department. All applicants are subject to approval or rejection at the discretion of Peconic Landing. If your application is approved, you will be emailed a link to our payment portal. Your spot is not guaranteed until payment is made. Thank you! I understand the above terms and conditions.Important Vendor Details*Set up begins at 7am on the grounds of Brecknock Hall. Generators are prohibited. Electric is not available. We suggest bringing a cart/wagon to transport your goods to set up area. Peconic Landing will provide each vendor with an 8’ table, tablecloth and two folding chairs. Pop-up tents no larger than 12x12 are welcome. Proof of insurance is required and vendors are solely responsible for their property and related liability. PLEASE NOTE: Submitting an application does not guarantee a place at the John May Mile; your application will be reviewed and you will receive confirmation via email. Peconic Landing reserves the right to reject applications from political, partisan or religious causes. Proof of Health Department permit required (if applicable). I understand the above terms and conditions.Liability Waiver*Vendor agrees to indemnify, hold harmless and defend Peconic Landing at Southold, Inc. and its agents, employees, representatives, officers, directors, stockholders, members, managers and parent, subsidiary, affiliated and successor companies (individually or collectively, the “Indemnified Parties”) from and against any and all liability for loss, damage or expense for which the Indemnified Parties may be held liable by reason of injury or harm to any person or damage to any property of whatsoever kind or nature arising out of or in any manner connected with the Vendor’s operations at the Craft Fair, excepting any damage or loss caused by the negligence of the Indemnified Parties. I understand and agree.By typing your name below, you are signing this waiver electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.*Questions?If you have any additional comments or questions, please leave a note below or contact Diane Radigan by e-mailing DRadigan@peconiclanding.org or calling (631) 477-3800 ext. 373.Δ