Application
Applicant Information
Full Name: /Date:
Last
/First
/Name of Business: ______
Address:Street Address
/Apartment/Unit #
City
/State
/ZIP Code
Phone: /Tax ID Number.
/Mobile Vendor #:
**ALL TENTS MUST HAVE SIDES
Type of Food:Do you need direct water? / YES / NO /
Do you need Electricity?
/ YES / NO*** THERE IS LIMITED ELECTRICAL AND LITTLE OR NO WATER AT THE EVENT
Please Describe Electrical Needs: ______
Have you done this at other events? / YES / NO /If yes, please describe?
Serving Information
Tent Size: /Trailer Size
Please Include a Full Menu, Prices and Pictures of your Booth (all to be approved by EKD):
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References
Please list three professional references.
NAME PHONE
1. ______
2. ______
3. ______
**THERE IS VERY LIMITED WATER AND ELECTRICAL
Pricing: / 10X20 Space- $520.00; Each additional 10 feet is $50.00 /Total:
Electric: / 20amp Single- $30.00 ea. / 30amp/50amp camlock- $80.00 ea. /Total:
Water: / There is little or no access to water. /Total:
Due by May 1, 2016 NO EXCEPTIONS /GRAND TOTAL
SIGNED: ______DATE: ______
· INSURANCE REQUIREMENT: All vendors will be required to provide proof of liability insurance in the amount of $1,000,000 naming Evel Knievel Days as additionally insured. Also required Food Purveyor’s Service License with a mobile food service endorsement; or their DPHHS Temporary Food Establishment License specifying the 2016 EKD is required. All information must be in by May 1, 2016,
· NO REFUNDS AFTER MAY 1, 2016. NO EXCEPTIONS
· EKD does not make any guarantees on any sales.
· I have read the Vendor guidelines and agree to all of them. This will serve as a contract if you are approved by EKD.
· I understand that my location is subject to change.
· I agree to have my trailer/tent set up by 9am Thursday, July 21, 2016
Please Email questions to: and mail completed form and check to: Evel Knievel Days Inc., PO Box 272, Butte, MT 59703.
AGREEMENT AND SIGNATURE:
By Submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted, any false statements, omissions or other misrepresentations made by me on this application may result in a termination of this agreement.
Name (printed) ______
Signature ______
Date ______
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