ATTENTION: APPLICATION MUST BE FAXED OR MAILED TO THE FAIR OFFICE

FOOD CONCESSIONS APPLICATION

CLARK COUNTY FAIR ASSOCIATION        
17402 NE Delfel Road - Ridgefield, WA  98642
Phone: (360) 397-6180 - Fax: (360) 397-6185
August 5-14, 2005

Note:  This application is not a contract and does not guarantee space for the fair.  Do not send any money!  Please type or print clearly:  All information must be completed or application will not be accepted.

Company or Organization ________________________________________________________________
Unified Business Identifier (U.B.I.) Number__________________________________________________
Issued by the Washington State Department of Revenue
Authorized Representative________________________________________________________
Phone: (     )____________________  or  (    )_______________________________
Fax: (    )________________________
Mailing Address____________________________________________________________________________
City_______________________________________________   State_____________    Zip_______________
E-Mail Address__________________________________________________________________________ 
Website_________________________________________________________________________________

Proposed Menu: Be specific, include item and prices.  Include a picture of your booth setup.  You may attach additional info.

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

______________________________________________________________________________________________

Listing of other Fairs or Festivals, including dates, in which you have participated: _____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

IMPORTANT: BE SPECIFIC
Electrical requirements:  110V _____  220V _____  AMPS needed ______

All booths are required to have a minimum $1,000,000.00 liability insurance policy that names the Clark County Fair Association & Clark County as additional insured.  You may purchase insurance from CCFA, current cost $125 per location (price subject to change).

Do you require special events liability insurance provided by the CCFA Insurance Carrier?   YES___   NO___

THE ABOVE NAMED BUSINESS/ORGANIZATION AGREES THE INFORMATION PROVIDED IS CORRECT AND COMPLETE AND THAT THE LISTED PRODUCTS ARE THE ONLY PRODUCTS TO BE SOLD IN THE BOOTH.

SIGNATURE:______________________________________________      DATE:______________________

 

 

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