Food Vendor Application 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 2018 booth number location wasI have a:*TentFood TrailerIs your business located in Hancock County?*YesNoHow many running feet do you need?*Put the number of running feet in the Quantity box Price: $21.00 Quantity: How many running feet do you need?*Put the number of running feet in the quantity box Price: $23.00 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 Important 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 REFUND Cancellations will be accepted, however, NO REFUNDS OF FEE will be made after AUGUST 1st, 2019 NO ANIMALS other than service animals ALLOWED IN FESTIVAL AREACredit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Total $0.00 This iframe contains the logic required to handle Ajax powered Gravity Forms.