Vendor application

Primary Contact Name & Title

Business name

MFD License

Address

Street

City

State

Zip

Mailing Address

Street

City

State

Zip

Phone

Cell

Fax

E-mail

Do you have Business website?

Website URL

What is your business entity ?

Sole proprietorship Limited Liability Corporation Corporation

Please describe the type of food you sale:

Truck, trailer or cart dimensions:

Do you take credit card ?

Can you take pre-orders ?

Do you use any of the following social media ?

Facebook

Twitter

Instagram

Others