The Millwork Night Market Vendor Application
On-Site Prepared Food Vendors
Email address *
Vendor's Name:
Your answer
Business Name:
Your answer
Address (include city, state, and zip code):
Your answer
Business Phone:
Your answer
Additional Phone:
Your answer
Website:
Your answer
Type of Business:
List name and contact information of other potential vendors that you recommend we contact to participate in the Millwork Night Market:
Your answer
List the ingredients produced by your business that go into your products. If there aren’t any, please explain:
Your answer
Location(s) where product(s) are grown/raised/made if different than address above:
Your answer
List the farmers or growers who provide ingredients for the product(s) you are selling:
Your answer
Will you be using a heat source to cook foods at the market? (i.e.: grill, electric skillets, propane burners)
If yes, method of cooking:
Your answer
Fuel Source:
Your answer
Do you use a generator to run equipment?
If yes, provide make & model:
Your answer
Engine Size:
Your answer
Fuel Type:
Your answer
***You are required to have a Temporary Food Establishment License. Please scan and email to: millworknightmarket@gmail.com or mail to: Wicked River LLC 1667 Jackson St. Dubuque, IA 52001.***
***On-Site Prepared Food Vendors must submit their menu. We will do our best to minimize duplication of menus so there is not saturation within the market. Approval for applicants is based on the diversity of menu options***
Please list food menu below:
Your answer
Commercial Liability Insurance
No insurance is provided by the Millwork Night Market to participants in the market. All vendors are urged to carry commercial liability insurance with limit of at least $1,000,000 per occurrence and general aggregate limits of at least $1,000,000.
All vendors participating in the Millwork Night Market are responsible for any loss, personal injury, deaths, or any other damage that may occur as a result of the vendor’s negligence or that of its employees or agents. All vendors hereby agree to indemnify and save Wicked River LLC, the City of Dubuque, and The Millwork Night Market volunteers and staff harmless from any loss, cost, damages, and other expenses, including attorney’s fees, suffered or incurred due to participation in the Millwork Night Market.
Fees & Market Agreement
Full Season (April-October)= $300
Drop-In (1 time)= $75
Check the month(s) you would like to participate if you selected the drop-in option.
***Please Note: In order to minimize saturation among types of vendors, applications will be approved on a first come basis as they best fit and comply with the nature of the market. If duplicates occur, applications will be added to a waiting list***
I have read the Market Application and Market Rules. If accepted into this market, I hereby agree to abide by the Market Rules adopted by the Millwork Night Market. Further, I agree to sell only such items as those listed in the application. I also acknowledge those products must be of my own production or produced at the location described in the application. I acknowledge full responsibility for all my activities in the market (and for those assisting me) throughout the market night. I acknowledge the authority of the Market Manager to immediately settle any disputes regarding product legitimacy, procedural or vendor conduct violations, and impose penalties up to and including removal from the market. I agree to allow the Market Manager to inspect the premises where the products offered for sale are produced. I agree to allow the Market Manager to review craft/artisan items if the crafted item(s) do not appear to be crafted by the vendor themselves. I understand that the Millwork Night Market does not carry any insurance policies to cover individual participants and that I am urged to carry such insurance. I understand that the Millwork Night Market does not reimburse vendor fees if I fail to abide by the rules of the market. I certify that the information contained in this application is true and accurate.
Business Name:
Your answer
Vendor's Name:
Your answer
Signature (if printing) If not, type:
Your answer
Date:
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy