Stargazer Inc Shared Kitchen Request Form

STARGAZER SHARED KITCHEN RENTAL REQUEST FORM

Complete the form below to submit the shared kitchen rental application.

Stargazer Inc continuously assesses the availability (days/times) of the kitchen space for all current members.

Therefore, submission of the application does not gurantee that Stargazer will be able to offer you a contract for shared kitchen usage.

Name*

Business Name*

Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email Address*

Phone Number*

Do you want a 6-month or 12-month contract?*

6-month contract12-month contract1-time use (for out of state businesses traveling to Indianapolis-must be licensed)

Anticipated Contract Start Date?*

Date

What service(s) does your business provide? (i.e. food truck, baker, caterer, etc) and What are your menu items?*

How many hours per week/days per week are you looking to reserve?*

What time of day would you prefer to use the facility? (i.e. morning, afternoon, late night-please explain)*

What are your equipment needs (if any)?*

What storage space (if any) do you need? (i.e. dry storage, refrigerated storage, freezer storage, and/or equipment storage)*

Are you Serv-Safe certified?*

YesNo (This must be completed before a contract is signed for shared kitchen usage. You can find independent study guides online; Stargazer is able to proctor the exam)

Do you have your retail merchant certificate?*

YesNo (you can register your business with the State of IN at (www.inbiz.in.gov)

Are you looking for a commissary to become licensed or are you currently licensed looking to transfer?

I am looking for a commissary to become licensedI am currently licensed looking to transfer (A copy must be provided to Stargazer before a contract is signed for shared kitchen usage)

Do you need access to the dining room for services, tastings, classes, or private/social events?

YesNo