contact information non-food vendors food trucks

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Saturday, May 13, 2017 5:00pm-9:00pm Anderson Snow Park 1360 Anderson Snow Rd Spring Hill

It’s Fiesta Time! Thank you for your participation in the 4th Annual Hernando County Food Truck Fiesta. We are expecting over 500 attendees this year as they rediscover family date night! Please complete this form and return to the Chamber to reserve your spot today!

CONTACT INFORMATION BUSINESS NAME: ______________________________________________________________________________ CONTACT NAME: ______________________________________________________________________________ MAILING ADDRESS:_____________________________________________________________________________ PHONE: _________________________________________ FAX NUMBER: ________________________________ EMAIL:_______________________________________________________________________________________

PAYMENT

FOOD TRUCKS ONLY VENDOR FEE: 10% of proceeds or $50 entry fee (whichever is greater) ____________ initial here ☐ Description of booth– what are you selling? Please attach menu if available: __________________________________ ______________________________________________________

METHOD OF PAYMENT: ☐ Check attached ☐ Credit Card _____________________________________________________ Card #

___________________________ Exp Date

☐ Size, Type of trailer and/or set-up: _____________________ ______________________________________________________

_______________________ CVV#

_____________________________________________________ Name on Card

_____________________________________________________

NON-FOOD VENDORS

Billing Address

_____________________________________________________ Phone

_____________________________________________________

VENDOR FEE:  $75 Chamber Members $100 Non-Chamber Members ☐ Description of booth– what are you selling?

______________________________________________ ______________________________________________ ** Electricity is NOT available for this event

Signature

Send completed form: GHCCC 15588 Aviation Loop Dr, Brooksville FL 34604 Phone: 352-796-0697 Fax: 352-796-3704 www.hernandochamber.com