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African Market Place
Vending at the 55th Int'l Convention
Sponsored by the UNIA-ACL Global Government
CBPM Index
I want to be a Vendor in the 55th International UNIA-ACL Convention
3.  Name of Organization, Business,
School, or Group:
2.  Gender
1.  Please Enter your First and Last Name:
Male:
:Female:
4. Phone Number:
5.  Email Address:
6.  Website Address:
State:
Zip Code:
Country:
7.  Mailing Address:
City:
Merchandise Vendor:
8.  Type of Vendor:
Food Vendor (only on Friday Aug 31st, 9am - 4pm)
$75 for the Day
9.  What Days do you want to Vend? (Check all that applies)
Tuesday
Aug 28th
Wednesday
Aug 29th
Thursday
Aug 30th
Friday
Aug 31st
Saturday (Day Vending w/ Shrine... See Below)
Sep 1st, (7p-10p only)
9.  When Time do you want to Vend?:
Day Time: 9am -5pm
Evening Time: 7p -10p
Day and Evening Time: 9am - 10p
7p - 10p, $50
9a - 5p, $50
9a - 10p, $75
All Week, $225
All Week, $225
All Week, $325
10.  Are you interested in placing a coupon in the Whirlwind Newsletter
or on the Collective Black People Movement (CBPM) website for
promotion of your business?   
Yes:
No:
Yes:
No:
11.  Would you like to be added to our Vending Priority List for slots at
up coming events?
13.  Comments or Questions: 678-827-2276
12.  Total vending Cost:
13.  Terms and Conditions:
a.  Each Vendor must bring their own table that is no more that 6ft long.
b.  Set up is 1 hour before event and items must be broken down by 1 hour after event.
c.  There is no food vending permitted.
d.  All Fees must be paid prior to the Event.
Whereas,  _______________________________ desires to hold harmless the UNIA-ACL and the Soul Vegetarian Restaurant from any claims
and/or litigation arising out of  ________________________ ‘s actions in connection with the 55th International UNIA-ACL Convention in Atlanta,
Georgia August 28th – September 2nd, 2012.
Now Therefore, in consideration of the mutual covenants and conditions contained herein, ________________________________ and the UNIA-
ACL hereby agree as follows:
Hold Harmless.  ____________________________ shall defend, indemnify, and hold harmless the UNIA-ACL and the Soul Vegetarian Restaurant
from any and all actual or alleged claims, demands, causes of action, liability, loss, damage and/or injury (to property or persons, including
without limitation wrongful death), whether brought by an individual or other entity, or imposed by a court of law or by administrative action of any
federal, state, or local governmental body or agency, arising out of or incident  to any acts, omissions, negligence, or willful misconduct of UNIA-
ACL , its personnel, employees, agents, contractors, or volunteers in connection with or arising out of  _________________________ ‘s actions.  
This indemnification applies to and includes, without limitation, the payment of all penalties, fines, judgments, awards, decrees, attorneys, and
related costs or expenses, and any reimbursements to  ___________________________ for all legal expenses and costs incurred by it.
UNIA-ACL District 5: GA, FL, SC
For more Information:
Contact the Dr. Julius Nyerere/CBPM
UNIA-ACL Division 421: 678-827-2276
Become a Member
CBPM Store
10th President
General of the
UNIA-ACL  the
Honorable
Senghor Baye