Kiosk Vendor Application for 2016 Vendor Information – Please complete Company or product name: First Name:

Last Name:

Street:

City/Town:

Province:

Postal Code:

Home Phone:

Business Phone:

Cell Phone:

Email Address:

Website:

Description of all merchandise that will be sold:

GRHF Kiosk Vendor Program has expanded! We now welcome vendors to apply for Monday to Friday booking dates. Please indicate up to six preferred dates throughout 2016 by ranking them according to your preferred dates. Please note that October, November and December are our most popular requests and each vendor is likely to receive one or two sale dates during these months. Vendors are likely to receive 3-5 sale dates for the entire year. Please write in your the dates that you would prefer (Monday –Friday 9 am-4 pm), and rate them on your preferred dates. Cost

January 2-February 28

$125

March 1-May 30

$150

June 1-August 31

$125

September 1 to October 31

$150

November 1 to December 23

$200

Freeport, Jan.2- Dec 23, M-F

$75

1st date choice

2nd date choice

3rd date choice

4th date choice

* Payment information is required upon confirmation of your sale date(s).

5th date choice

6th date choice

7th date choice

Vendors can pay by credit card, cash or cheques. Payment must be received 14 business days prior to your sales date. •Please indicate which method of payment you prefer: ☐I wish to pay by cash or cheque and will provide upon confirmation of dates ☐I wish to pay by credit card Credit Card Information Credit Card #:________________________________________________________________________ Expiry Date: ___________________________________________ Amount:_______________________ Name on Card: _______________________________________________________________________ BY SIGNING BELOW The vendor acknowledges and confirms that they have received and reviewed a copy of the Grand River Hospital Foundation Vendor Program Policy and Procedures, and agree to comply with the policy as outlined. The vendor confirms they understand that failure to comply with this policy will result in immediate removal; Residual vendor rental dates for the year will be cancelled; the vendor will not be permitted to display products or services anywhere within Grand River Hospital, and no refunds will be issued for payments madeto-date. The vendor confirms they understand that any property or products brought onto the property of Grand River Hospital are not covered by the insurance policies of Grand River Hospital. Insurance costs and responsibilities are at the sole decision and discretion of the vendor. Grand River Hospital will not be responsible for any damage to, or loss of, any property or products however caused. The undersigned confirms they have the legal ability to bind the individual / corporation to this agreement. WAIVER In consideration Grand River Hospital Foundation renting to the undersigned individual / company specifically allocated floor space within Grand River Hospital premises, for the sole purpose of displaying and selling only prior disclosed products, the above named company / individual agrees to indemnify and save harmless from and against any and all claims, costs, damages or otherwise, to persons or property: Grand River Hospital and Grand River Hospital Foundation; Officers, Staff, and Volunteers of the Hospital or Foundation and Patients, and from any actions whatsoever arising directly or indirectly however caused, by renting the allocated space on the property of Grand River Hospital. I agree to the above terms: _____________ (please initial) Signed this _____ day of ______ 20_____ by: Print Name_______________________________________________________________________ Signature ___________________________________________________________________________ Mail or drop off to Grand River Hospital Foundation, 835 King Street West, Kitchener ON N2G 1G3, Kaufman Building, K423 or email completed forms to [email protected] Do not consider your booking request confirmed until you receive confirmation from Grand River Hospital Foundation.

Vendor Kiosk Procedures 

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Purpose Grand River Hospital Foundation (GRHF) receives requests from businesses and organizations to sell products and services on the premises. A vendor kiosk procedure has been created to streamline these requests and to have all requests pre-approved and pre-screened by GRHF to ensure that all products and services are appropriate for sale at Grand River Hospital. Procedure General Information Interested vendors are required to complete the Vendor Kiosk Application and Waiver Form for the appropriate year, available by emailing [email protected]

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Upon review and approval of application and payment arrangements, vendors will be added to the sales schedule, dependent upon availability.

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A schedule of vendors will be posted on the corporate intranet (LotusLink-viewable by Grand River Hospital staff). We will not put up flyers or signs in the building or send out mass emails to staff.

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GRHF reserves the right to withhold permission from any vendor or discontinue a vendor’s sale immediately if there is any violation of any law, regulation or this policy.

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Vendors must wear a vendor identification badge (available at Foundation reception).

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GRHF reserves the right to cancel any scheduled kiosk vendors for reasons impacting Grand River Hospital’s operations, including, but not limited to, an infectious outbreak, power failure or other unforeseen circumstances.

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Parking is not included in the fee but is available on site at the standard daily rate of $14.

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Product Guidelines All sales items must be in new and superior condition, and are required to be on-site and available at the time of purchase.

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In keeping with Grand River Hospital’s scent-free policy, all products must be scent-free.

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Vendors extension cords may not be used. An outlet and lighting are both provided (KW site only).

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Vendors who sell food items must ensure that items are in commercially sealed and labeled packaging. Nut products must be sealed and labeled appropriately.

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Vendors are not permitted to make any medical claims or statements about any product or service they are selling. Any terms, such as, but not limited to, cure, treat, heal, pain, relief, remedy, in regards to any medical conditions such as, but not limited to diabetes, arthritis, migraines, implied or expressed, verbal or in written form are strictly prohibited.

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Vendors SHALL NOT sell any counterfeit, replica or knock-off merchandise.

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Fundraising initiatives considered being in direct competition with GRHF fundraising initiatives will not be permitted at the vendor kiosk booth.

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If a vendor is handing out literature or merchandising items, a sample must be approved by the Foundation prior to the vendor’s booking date. Set-up Vendors will set up their booth at the tables provided inside the cafeteria at the Freeport campus and in the main lobby outside Tim Horton’s at the KW campus, from 9:00am-4:00pm.

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Vendors may load and unload their items in front of the staff entrance, to the left of the main entrance at the KW campus. At the Freeport campus, vendors may load and unload through the main doors.

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GRHF will provide 2 tables and 1 chair. Additional tables may not be used. Additional bins or racks must be approved by the Foundation prior to use.

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At this time, a phone line is not available for credit card verification; an ATM machine is available outside the pharmacy at the KW campus and at the Freeport campus. The Vendor will not use the change machines located at the Hospital to provide change for their floats. The change machines are there for the sole use of hospital patients and visitors.

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Vendors are responsible for assembling and dismantling their displays, ensuring their display area is clean and maintained throughout the day. Vendors must not hang any items from the ceiling or walls. At the end of the day, the space must be left in the same condition as it was found in the morning.

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As the vendor table is in a prime location, setup should be contained to the designated area and cannot disrupt the overall traffic flow.

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If the given space is unavailable, an alternate space may be provided.

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Customers should be made aware of your refund and return policies.

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Grand River Hospital and Grand River Hospital Foundation are not responsible for lost or stolen goods.

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Government Regulations All products sold must comply with all regulations established by the applicable government agencies, including but not limited to the Electrical Safety Authority, Buildings, Fire and Health Departments of the Waterloo Region. Vendors must provide a copy of the necessary licenses, permits or certificates with this Agreement. Vendors are prohibited from selling products made from Lead or Cadmium on property. Please visit Health Canada webpage at www.hc-sc.gc.ca or contact Health Canada directly at 1-866-225-0709. Payment A daily fee is required in order to secure a sales date. January 1-February 28

$125

March 1-May 30

$150

June 1-August 31

$125

September 1 to October 31

$150

November 1 to December 23

$200

Freeport site- all dates

$75

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Vendors can pay by credit card, cash or cheques. Payment must be received 14 business days prior to sales date. Payment is to be forwarded to the Foundation office via mail to 835 King St. W, Kitchener ON N2G 1G3 or dropped off in the Foundation office, K423. You can also call in your credit card number to 519-749-4205.

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Vendors must forward a copy of their business license/vendor permit along with their payment.

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If cancellation occurs 14 business days or more prior to sales date, no charge will be applied.

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In the event of a no show or cancellation less than 14 business days prior to your scheduled booking, you will forfeit your payment.

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Vendors may not swap days with other vendors unless approved by the Foundation.

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Vendors who have not signed our Application/Waiver are prohibited from selling on our site. We have vendors eager for cancellations and will make alternate arrangements. Do not under any circumstance offer your spot to another vendor without prior approval from Foundation.

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All sales will be between the vendor and the purchaser (customer). Grand River Hospital Foundation will not be responsible for refunds, returns, or adjustments. The Vendor will provide contact information to the customer on their purchase receipt (or by business card). If contacted, Grand River Hospital Foundation will provide vendor contact information to the customer.

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Patient care is the number one priority at Grand River Hospital. Patients are often transferred within various departments of the hospital and may be taken through the vendor area at any time. Vendors need to be respectful of this and give patients, porters, nurses, etc. the space needed. This needs to be done as quickly as possible.

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Vendors should respect the hospital and its staff at all times. Vendors are expected to follow a professional code of standards, which promotes respectful interaction and communication. Grand River Hospital and Grand River Hospital Foundation will not tolerate unprofessional behavior. The Hospital and Foundation reserves the right to dismiss a vendor at any time if they are not compliant with the standards and policies listed above.

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Vendors need to be sure that they, as well as their staff, are familiar with the Policies and Procedures. If the above Procedures are not followed, all future bookings with the vendor will be cancelled and could result in the vendor being asked to leave immediately with no refund for rental fees issued. We appreciate your interest in the Grand River Hospital Foundation Vendor Kiosk Program and look forward to working cooperatively with you. Contact: If the vendor has any problems while they are at Grand River Hospital, they must contact the Foundation at ext. 4205. There is a house phone located in the main lobby. Tel: 519-749-4205 ext. 4205 Email: [email protected]