FOOD CONCESSION & VENDOR
(Must be submitted to
the Chamber no later than September 23, 2011)
Each Food Vendor must also
pay a $75.00 fee to Environmental Health to obtain a temporary food permit
Vendor / Company: _______________________________________________
Contact: __________________ Title: _________________________________
Email: _______________________ Website: ___________________________
Address: __________________ City____________ State: ______ Zip: _______
Phone: (__) __________________ Fax :(__) ___________________________
Product/Service Exhibiting: _________________________________________
Entry Fee: $ 200.00
I/we understand this application becomes a binding contract when accepted and signed by the Yadkin County Chamber of Commerce. I/we agree to abide by any rules and regulations published herewith as well as any additions or published changes. I/we attest that I/we have all required and up-to-date business licenses and insurance. This application must be accompanied by a certificate of insurance naming the Yadkin County Chamber of Commerce and the Town of Yadkinville as additional insured for October 15, 2011.
Vendor Signature: ________________________________ Date: ____________
Accepted by: Chamber of Commerce ________________ Date: _____________
* Please sign and return to Yadkin County Chamber of Commerce
at P. O. Box 1840, Yadkinville, NC 27055