Thank you for using our on-line vendor application and payment system.
Vendor Name: (required)
Contact Person: (required)
Address: (required)
City: (required)
State: (required)
Zip: (required)
Phone #1: (required) MobileLand line
Phone #2: (optional) MobileLand line
Email: (required)
Website URL: (optional)
Vendor Type: (required) —Please choose an option—MerchandiseReady To Eat Food
Space Size: (required) —Please choose an option—12'x12'12'x24'Other
Please describe your special size requirements:
Space Size: (required) —Please choose an option—12'x12'12'x24'Food Truck or TrailerOther
How many feet of parking space do you require for your truck or trailer? (required)
Electrical requirements (Generators are not allowed): 120-volt, 20-amp circuits 240-volt 50-amp circuit
Payment: (required) (On-line payments processed securely by PayPal.) —Please choose an option—I will be sending a checkI will be paying on-lineOther
Please describe your proposed “other” payment type:
Short Summary of What You Will Be Selling: (required)
Questions or Comments? (optional)
I am planning to donate something to the raffle drawing: YesNo
Item(s) I will be donating:
I acknowledge that I am responsible for collecting and remitting applicable sales tax and adhering to applicable food safety regulations. I acknowledge that this is a 3 day event and that I will be setup and open for business during the entire event unless special arrangements have been made and agreed upon at the time of registration.
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