Taste of

warren Hills

Name of Restaurant/Vendor:

Address: StateZip

Contact Person:

Phone: Email Address:

Web Address for Hyperlink:

Participants in the 2012 Taste of Warren Hills serve portions not to exceed 3 oz. The tasting portions will have a selling price each restaurant/vendor sets at $1, $2, $3, $4, or $5. Please include the items your restaurant intends to serve in the form below. Cash may not to be accepted at the booth. Tasting tickets will be sold to patrons for $1 each upon entry as well as by Taste of Warren Hills volunteers throughout the day. Restaurants/vendors will receive 25% of their chosen selling price for each tasting. Taste of Warren Hills event organizers will provide each restaurant/vendor booth with a ticket container labeled with their restaurant/vendor name. It is veryimportant that all tasting tickets collected during the event are placed in the ticket container. The total amount of tickets that are collected by each restaurant/vendor booth will determine the amount of profit (25¢ per ticket) that each participant generates at the event.

Tasting Item(s): please circle price for each

1.Price$1$2$3$4$5

2.Price$1$2$3$4$5

3.Price$1$2$3$4$5

4.Price$1$2$3$4$5

Vendor Fee Platforms: all levels include 10’ x 10’ tents, 6’ tables, all paper products and utensils for tastings

Royal Blue Platform - single boothincludes one tent, one table, two chairs$100Qty:

Blue Streak Platform - double boothincludes two tents, two tables, four chairs$150Qty:

(note: Blue Streak Platform is limited and will be filled on first-come first-serve basis)

Please include a check payable to Warren Hills Sports Association for the entire amount with your application. Mail completed application with payment to: Warren Hills Sports Association, Restaurant Chair Committee, P.O. Box 398, Washington, NJ 07882-0398. Registration deadline is March 30, 2012.

I have read and agree to comply with the Warren Hills Sports Association and the Health Department rules and regulations. I understand that I will be liable for any cost incurred by the Warren Hills Sports Association for any failure to comply with these regulations. I understand that all pre-paid fees are non-refundable. I authorize the Warren Hills Sports Association to deduct 75% of the proceeds of restaurant/vendor ticket sales the day of Taste of Warren Hills. I understand the Taste of Warren Hills is an event that uses event tickets for all purchases and that any participant that accepts cash will be asked to leave immediately.

Signature:Date:Phone #

Warren Hills Sports Association Representative:Check#

Warren Hills Sports Association is a 501(c)(3) nonprofit organization. Your contribution is tax deductible to the extent allowable by law.