Vendor Registration Form

Vendor Registration

Complete form below to signup as a vendor.
Company Contact Information
Organization/Business Name*
Point of Contact*

First NameLast Name
Phone Number *

Area CodePhone Number
E-mail*
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
TO RESERVE YOUR SPACE, PAYMENT IN FULL MUST BE RECEIVED NO LATER THAN OCTOBER 1, 2025.

FEES ARE NONREFUNDABLE. PRICES MAY VARY DEPENDING UPON YOUR EQUIPMENT SIZE. MAKE CHECKS OR MONEY ORDERS PAYABLE TO LHPRS- P.O. BOX 4471, ST. AUGUSTINE, FL 32085. ALL FOOD TRUCKS MUST BE IN COMPLIANCE OR THE CITY WILL NOT LET YOU SETUP. FOOD TRUCKS MUST BE SETUP BY 9:00AM.
What are you Selling?
List item and price*
List item and price
List item and price
DISCLAIMER: THE LINCOLONVILLE HISTORICAL PERSERVATION & RESTORATION SOCIETY, INC. (LHPRS) SHALL NOT BE HELD LIABLE FOR ANY CIRCUMSTANCES OR MONETARY EXPENSE BEYOND OUR CONTROL, (acts of God, etc.) THE LHPRS SHALL NEITHER BE HELD LIABLE FOR FULFILLING OUR CONTRACTUAL AGREEMENT. CONTACT 904-762-9883 AND LEAVE A MESSEAGE IF YOU HAVE ANY QUESTIONS.

I have read and understand the foregoing release and idemnification and agree to abide by the contents of this application.
Date

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Date
Company Representative Signature

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Vendor Registration