2018 Community Days Food Vendor Form
Please fill out this form if you are interested in serving as a food vendor during Henderson Community Days on July 14, 2018
Name (First and Last)
Your answer
Legal Business Name:
i.e. Bob's Burgers, LLC
Your answer
Business Information
DBA (Doing Business as)
i.e. Bob's Best Burger's - Please enter you name exactly as you would like it to appear in print or online.
Your answer
Address
Your answer
Website:
Your answer
Primary Contact
* Please note e-mail will be our primary method of correspondence and all correspondence will be sent to the Primary Contact email that you list below.
Name:
Your answer
Email:
Your answer
Work Phone/Cell Phone
Your answer
Alternate Contact
Will only be contacted if primary contact cannot be reached.
Name:
Your answer
Email:
Your answer
Work Phone/Cell Phone:
Your answer
Booth Information
Type of Vending
Booth Size and Extras
We consider a single booth size to be 10' x 10' on either grass or cement. If you intend to have a booth space larger than this, know that we charge $1 per foot of frontage over the standard 10' frontage size.
Mobile Unit or Dimensions larger than 10'x10' Single Booth
Mobile units include self-contained trailers or food trucks that will serve as your sales booth. If you are applying to operate a mobile unit, please list full tongue-to-tail dimensions here:
Your answer
Location Preference
Please summarize the type of products you will be selling:
Your answer
If Food Vendor: Please list menu items
This way we can avoid overlapping of food items outside of drinks.
Your answer
Do you carry any of the following?
List Permits you carry with the State of Nebraska
i.e. - Permit for Temp. Food Service
Your answer
Is there any other information that we should know about your operation?
Your answer
Thank You
Booths will be placed in the order the vendor forms were submitted. Please Submit your payment with checks payable to:

Henderson Chamber of Commerce
Attn: C Days Vendor
PO Box 225
Henderson, NE 68371

Or go to www.HendersonNE.com/payment to pay with PayPal

Questions? Call: 402-723-4228 or email hchamber@mainstaycomm.net

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