old 2/12/12 12am Food Vendor App

2012 Food Vendor Application

Deadline April 30th
Vendor (Business Name)
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number (1)

Area CodePhone Number
Phone Number (2)

Area CodePhone Number
E-mail
Booth Requirements
Complete Menu:
Booth Size:
Electrical Requirements:
Water Requirements:
Electrical Appliances you will use:
Additional Requirements or Comments
Please read and check all boxes
Rules and Regulations
Link to Food Vendor Rules
Terms and Conidtions

I will provide a booth both Saturday and Sunday of the Coupeville Arts and Crafts Festival. I will serve the menu as stated above and will comply with all state and county health regulations in serving this menu. I have read the rules and will comply with them. I further understand that the Coupeville Festival Association holds no liability in any claim against a product that my group and or my business serves during the Festival.
Certificate of Insurance
Entry Fee
Island County Health Dept

(360) 679-7350 begin_of_the_skype_highlighting (360) 679-7350 end_of_the_skype_highlighting
Payment
Please select one
PayPal Pricing
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Food Booth$75.00

DummyFree
Attn: Leslie Franzen
Coupeville Festival Association
PO Box 611
Coupeville, WA 98239

(360) 678-5912
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2012 Food Vendor Application