SCMS Vendor Registration Form

Vendor Application

Complete form below to signup as a vendor.
COMPANY CONTACT INFORMATION
Organization/Business Name
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Point of Contact

First NameLast Name
Phone Number (Day)

Area CodePhone Number
Phone Number (Evening)

Area CodePhone Number
E-mail
COMPANY OVERVIEW
General Details of Services/Goods
Instagram Handle
Facebook Page
Select Type of Business:*

For ProfitNon-Profit
Insured?

YesNo
Licensed?

YesNo
License Number
SELECT YOUR EVENT SPACE
Select all that apply:*

Food Truck Only10' x 10' (Retail)10" x 20" (Retail)
PLEASE NOTE: EACH VENDOR IS RESPONSIBLE FOR EACH OF THE FOLLOWING:
- Waste Disposal
- Health Permit
- Electricity
- Handwashing/Hot & Cold in Truck
PLEASE ACKNOWLEDGE THE FOLLOWING:*

I understand that I am responsible for each of the following: My own electricity and waste disposal, health permit, handwashing sink with hot & cold water to meet standards of a food truck by the Health Department.
A non-refundable deposit will be required after your submission is approved.
Date

MonthDayYear
Date
Company Representative Signature

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Vendor Application