Food Vendor Application 2012
HOMETOWN HOLIDAZZLE - NOVEMBER 24, 2012

Vendor is responsible for all booth structures, tables and chairs, extension cords, lights, etc.  The HoliDazzle Committee will provide electricity (up to a limit).  No water is available.

1. Please fill in the following information and click submit.
2. You will be contacted if we have any questions.
2. If accepted as a vendor, you will be asked to send in your payment.
3. After receiving payment, you will be given final details and instructions for location of booth, set up time, etc.
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Name *
Phone No. *
Alternate Phone No.
Business Name (if any)
Street Address *
City *
State *
Zip *
E-mail
Food items to be sold.  (No additions on day of event.) *
We try not to duplicate foods being sold in the same area
Electrical equipment to be used *
Booth structure *
Number of booth spaces requested *
You must have proper food license. *
Contact Katie Burwinkel at the Clinton County Health Department with any questions. (937) 382-7251
Required
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