Fair: Food Concessionaire Application

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Name * First Last
Business Name *
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone * - (###) - ### ####
Cell Phone - (###) - ### ####
Email *
Web Site
Sales Tax ID *
Type of Operation *
Please take note of the prices of your selections in order to send the correct payment amount.
Booth Size *
110v Electrical Needs

You may use any combination of the available 110v and 220v outlets.
220v Electrical Needs
Special Requirements
Proposed Menu with Pricing *
Experience & References *

Please include references and contact phone numbers.
Upload Image of Booth *

Please upload a photograph that accurately represents your operation.
Type the letters you see in the image below.