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Vendor Registration
We are excited that you want to join us! Please fill out the below information to register. Email confirmation of your booth will be sent upon review. Please click here to see the list of Vendor Expectations. 
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Email *
Vendor Name *
Contact First Name *
Contact Last Name *
Contact Title *
Phone Number 
*
Business Type *
Required
Business Address *
Business City
*
Zip Code *
Food Handling Safety Exemption Request

This Declaration is to affirm that (Name of your for-profit entity) is requesting an exemption from permit requirements for food facilities under the provisions of Section 113789(c)(a) of the California Retail Food Code, which allows the above named for-profit entity to give or sell food and/or beverages at an event that occurs not more than three days in a 90-day period for the benefit of the nonprofit association: St Paschal Baylon Men's Club Thousand Oaks, CA 91302  on June 22, 2025 for the benefit of Food Share, Many Mansions, and St Paschal Baylon Men's Club charities.  I certify that the above is true and correct to the best of my knowledge and belief. I further certify under penalty of perjury that the above named for-profit entity will receive no monetary benefit other than that resulting from recognition for participating in the event. I understand that I may not sell or take orders for any food or beverage product at this event.
 *
Required
Exemption Signature - (Enter your Full Name) 
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