Market Sponsor Form Join Wichita’s Local Innovative Community Hub We help elevate the missions and outreach goals of area organizations by connecting them with thousands of Market customers. Please submit the following form. Sponsor candidates are evaluated on an individual basis to ensure there is no direct conflict with the market’s mission. Organization Name * Organization Description * What message do you hope to promote? * What items (if any) would you like to hand out? * Number of in-person dates you wish to attend? * 37 markets/season - Saturdays, April 5th through December 20th 1 Market ($1000.00 - Included in the base sponsorship package.) 2 Markets ($1150.00) 3 Markets ($1300.00 - Recommended for the greatest face-to-face Market Day benefits.) Other Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Contact Name 1 * First Name Last Name Phone 1 * (###) ### #### Email 1 * Contact Name 2 First Name Last Name Phone 2 (###) ### #### Email 2 Website http:// Social Media Link Social Media Link Checklist Items: * Check all that apply We do have a 10x10' canopy for use at events like this. (NOTE: A 10'x10' canopy is mandatory.) I would like the Market to provide a 10'x10' canopy. We do have a table or tables. I would like the Market to provide one 6' table. We do have sufficient signage for use at events like this. Participant Agreement * Old Town Farm & Art Market provides Equal Opportunity to all applicants and prohibits discrimination and harassment of any kind. The Market is committed to the principle of this opportunity providing applicants with a Market environment free of discrimination and harassment. All decisions by management are based on Market business needs, rules and regulations, participant requirements and qualifications, without regard to race, color, religion or belief, political affiliation, national, social, or ethnic origin, sexual orientation, or any other status. The applicant agrees to indemnify and hold harmless Old Town Farm & Art Market, FarmShop LLC, The Source Market Association LLC, managing partners, representatives, and agents from and against all liability, claims, demands, losses, damages, levies and causes of action or suits of any nature whatsoever, arising out of or related to me or my represented organization’s activities at the Market. I also confirm that I am of legal age and able to act on behalf of myself and/or the organization I represent. I confirm that I have read the requirements for this sponsorship opportunity and upon approval of my sponsorship the terms and conditions within shall form a formal agreement between the person or company herein, Old Town Farm & Art Market and FarmShop, LLC. Confirming “I Agree” below is your digital signature certifying this Agreement, which is subject to the laws of the State of Kansas, the City of Wichita, and the rules and regulations of the Market. I Agree Thank you! We will be in touch shortly. We look forward to working with you. THANK YOU!
