Food Vendor Application – 2017 Business Name*Contact Person* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Website Contact Phone*How long have you been a Riley Festival food vendor?*My 2016 location wasI have a:*TentFood TrailerIs your business located in Hancock County?*YesNoHow many square feet do you need?*Put the number of square feet in the Quantity box Price: $20.00 Quantity: How many square feet do you need?*Put the number of square feet in the Quantity box Price: $22.00 Quantity: Do you need electricity?*Yes, 110Yes, 220No220 Electricity Price: $20.00 Do you need a grease dump?*YesNoGrease Dump Price: $5.00 Electrical appliances to be used:Items to be sold or given away (only items listed will be accepted)*Total $0.00 How would you like to pay?*CashCheckCreditImportant Notice: Persons violating the regulations of the Festival will be asked to leave the Festival. The Riley Festival Committee reserves the right to assign space and to reject vendors for any reason. THE LESSOR, JAMES WHITCOMB RILEY FESTIVAL ASSOCIATION, INC., DBA, RILEY FESTIVAL, SHALL NOT BE RESPONSIBLE FOR ANY INJURY OR LOSS OF ITEMS THAT ARISE OR COME TO THE LESSEE OR HIS EMPLOYEES OR PERSONNEL OR HIS GOODS FROM ANY CAUSE WHATEVER WHILE SAID PREMISES IS BEING OCCUPIED UNDER THIS AGREEMENT. I HAVE READ, UNDERSTAND AND WILL COMPLY WITH ALL PROVISIONS AND POLICIES OF THIS APPLICATION. I UNDERSTAND THAT ANY VIOLATION MAY RESULT IN MY DISMISSAL WITH NO REFUNDSignature* This iframe contains the logic required to handle AJAX powered Gravity Forms.