Vendor Information Required

First Name

Last Name

Email Address

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Previous Vendor

Yes
No

Terms & Conditions

Contract

Contact Information

Personal Phone Number

Organization

Title

Address Line 1

Address Line 2

City

State

Postal Code

Phone Number

Work Phone Number

Sales Tax # or Social Security #

Booth Type/Location Check one of the following:

Outside booth (10’x10’)
Food Court

Rental Amount

Food spaces are $450 Plus Liability Insurance $100 = Total $550
Non food Spaces are $100 Plus Liability Insurance $75 = Total $175

Food / Beverages For Sale

Type NA if not needed

Products For Sale

Type NA if not needed

Electricity Required

Yes
No

Electricity Type

If answered "yes" above, list what type needed.

Special Needs

If none are needed put, NA

**If booth is a trailer, state length from the tip of the tongue to the rear bumper.