Funktafest Beverage Vendor Registration Form
Registration fee $100 (increases to $125 after July 1, 2019)
* Required
Email address
*
Your email
Name of Business
*
Your answer
Contact Person
*
Your answer
Telephone Number
*
Your answer
Address
*
Your answer
Products Sold
*
Your answer
City of Huntington Health Department Permit?
*
If you are not registered with the City it does not disqualify from being a vendor but you must receive a permit before participating. For more information on getting a permit call 304-523-6483.
Yes
No
Payment Options
*
Check
Credit Card
Pay Pal
Submit
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