Vendor Application
Name_______________________________ Phone _______________________
Address________________________________________________________________________
Email_______________________________
Number of spaces requested (approximately 10 x 10 ) ___________________
Amount enclosed:________________
Minimum donation of $25 by 7/1/2026 or $30 thereafter. Please make checks payable to :
Lodi Historical Society
Lodi Historical Society , PO Box 279 Lodi, NY 14860
Type and Size of set-up (tent, table, etc.)
Type of vendor (craft, clothing, food, etc.)
Note: Vendors are responsible for supplying their own tent, table, chairs, etc. and are responsible for removal of personal garbage and trash.
I, the undersigned, understand the requirements of the event and agree to abide by the wishes of the Centennial Celebration sponsors and / or the owners of the property at your location.
I agree to hold harmless the sponsors of this event (Lodi Historical Society), the Town and Village of Lodi, or the Lodi Volunteer Fire Department from any damages or losses of any kind suffered by participation in this event. I accept full responsibility for myself, property and my actions during this event.
Name (print)____________________________Signature__________________________
Date_________________________________
Lodi Historical Society PO Box 279 Lodi, NY 14860 Attn: Susan Hay Or email to: nshay1399pc@empireaccess.net