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*First Name: *Last Name:

*Business/Organization Name:

*Description of Merchandise (check all that apply)

Please note, vendors are not allowed to sell any Chief Illiniwek merchandise.
Also, as noted in the contract: "The Vendor agrees that the items offered for sale are original or that the Vendor will obtain any and all necessary clearances or licenses. The Vendor agrees that the items offered by the Vendor at the Event shall not infringe the intellectual property rights of others including copyrights and trademark rights. The Vendor agrees to pay any and all royalties or other payments required to be paid on items protected by intellectual property rights of others to insure that the University of Illinois is held free from all such liabilities or any other payments for liabilities connected with the Event."

Other (1)
Other (2)

*Address:

*City: *State: *Zip:

*Cell/Primary Phone:

*Email: *Re-type Email:

Secondary Contact:
First Name: Last Name:

Address:

City: State: Zip:

Phone:

Email:

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