Cannonball Phoenix Spree Friday: May 4, 2011 Vendor Form Vendor Fee: $ 50 .00 per space

1. Cannonball Phoenix Spree Friday: May 4, 2011 Vendor Form Vendor Fee: $50.00 per space Plus a mandatory Raffle Prize donation worth $50+ Return this registration form to: Please mail check and/or raffle prizes to: ECCO Elite Car Cruising Organization Checks payable to ECCO Name: ______________________________________________ Address: _____________________________________________ City: ______________________ St: _______ Zip: _____________ Home Phone: __________________ Cell: ___________________ E-mail: _______________________________________________ Items Sold: ____________________________________________ _____________________________________________________ Space Needed: Six Foot Table with two chairs -or- Parking lot space for people bringing trailers or pop-up tents. Waiver & Disclaimer: In consideration for and the acceptance to the Cannonball Phoenix Spree, the undersigned vehicle owner and/or exhibitor hereby fully and unconditionallyagrees to the following To release ECCO,their representatives, agents and employees from any liability, risk of personal injury, loss or damage to property and to assume all risks including; civil disturbance, riot, public commotion, negligent acts or violence of third parties arising from or related to the Cannonball weekend car show and cruise. Release all event officials, jointly and severally from any liability arising from said event. No alcoholic beverages, firearms or glass containerspermitted. Warrant that the undersigned has personally read the above rules, maintains a valid auto liability policy, and will abide by said rules and regulations and the event policies on date of show. No Refunds! Name: _______________________________ Date: ______________ Signature: ________________________________________________