2017 Wyman Tavern Brew Fest
Brewer Registration Form
Vendor Name
Your answer
Contact Name
Your answer
Contact Email
Your answer
Contact Phone
Your answer
Description of Vendor (20-30 words for possible program guide)
Your answer
List Description of Product(20-30 words for possible program guide)
Your answer
How many kegs/cases are you bringing? Please specify kegs or cases
Your answer
Distributor
Your answer
Are you a licensed brewery?
How many people will you have pouring your beer? (You will be required to supply valid drivers license information)
Your answer
Vendors wishing to participate in the Wyman Tavern Brew Fest, to take place August 5, 2017, must adhere to the following insurance guidelines and requirements:
1. Hold a current term Liquor Liability Policy with limits equal to or greater than $1 Million per occurrence/$2 Million Aggregate
2. List The Historical Society of Cheshire County as an Additional Insured on their current policy
3.Furnish the HSCC with a Certificate of Insurance showing said limits and Additional Insured status

The above requirements are non-negotiable and we greatly appreciate your compliance.  If you have any questions on the insurance requirements please contact our agent, Bryanne Kingsbury, at Clark-Mortenson Insurance directly.  877-352-2121 Ext. 285 or bkingsbury@clark-mortenson.com

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