Don's Mercantile Commercial Kitchen Application
Complete this application to request a commercial kitchen rental and provide your business, licensing, equipment, and operational details.
Applicant & Business Information
Business Name
*
Owner/Applicant Name
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Home Address
Business Structure
*
Sole Proprietor
LLC
Partnership
Corporation
Nonprofit
Other
Business Structure - Other
Describe your food business/products
*
Business Status, Licenses & Compliance
Current Business Status
Existing Business
Startup Business
Food Truck Vendor
Catering Business
Cottage Food Operator
Other
Current Business Status - Other
Do you currently have a business license?
Yes
No
Business License Number
Food Handler / ServSafe Certification
Yes
No
Certification Expiration Date
-
Month
-
Day
Year
Date
Health Department Approval
Yes
Pending
No
Do you currently carry business liability insurance?
Yes
No
Insurance Provider
Policy Number
Sales Tax Certificate
Yes
No
EIN (Employer Identification Number) - Do you have one?
Yes
No
EIN Number
Rental Preferences, Equipment & Operations
Rental Plan Requested
*
Full-Time Kitchen Rental - $475/month - 2–3 days weekly / 12 hours weekly
Part-Time Kitchen Rental - $300/month - 1–2 days weekly / 8 hours weekly
Commissary Kitchen / Food Truck Vendor - $165/month
Requested Days/Hours
*
Equipment You Expect To Use
*
Oven
Stovetop
Prep Tables
Refrigerator
Freezer
Other
Equipment - Other
Will You Require Dedicated Storage?
*
Yes
No
Estimated Weekly Production Volume
*
Will you have employees or helpers using the kitchen?
*
Yes
No
If yes, how many employees/helpers?
Have you ever operated in a shared commercial kitchen?
*
Yes
No
Have you ever had a health department violation?
*
Yes
No
If yes, explain
Agreement, Signature & Office Use
Agreement & Expectations Acknowledgment
*
Kitchen cleanliness is mandatory.
All personal items and food products must be properly labeled and stored.
Rental fees must be paid on time.
Respect for shared equipment and scheduling is expected.
Failure to follow sanitation or operational policies may result in termination of rental privileges.
Other
Applicant Signature
*
Date
*
-
Month
-
Day
Year
Date
Date Application Received
-
Month
-
Day
Year
Date
Application Approved
Yes
No
Deposit Paid
Assigned Schedule
Personal Interview Notes
Submit Application
Submit Application
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