Food Vendor Registration Form Company Name * Type of Business * Contact Person * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### Space Requirements * Electrical Requirements * Do you have a generator or do you need access to electrical outlets and which type: 20amp, 30amp, 50amp Terms & Conditions * • You must provide your own tents, tables, chairs, lights, electrical cords, etc. If these items are needed, please make arrangements with a local rental service. • You are responsible for all trash produced by your customers and your stand. • No items with ‘Nicodemus Homecoming’ or ‘Emancipation Celebration’ are permitted to be sold unless you have prior written approval from Homecoming Committee. I/We have read, acknowledge, understand, and accept the requirements to become a Vendor at the Nicodemus Homecoming Emancipation Celebration (Food Safety Checklist, Proof of Insurance, Sales Tax Requirements, Electrical Requirements). Please Note: A completed application does not ensure participation in the event. Thank you!See you in July