JapanFest Restaurant Vendor Application
Prefix
*
Mr.
Mrs.
Miss
First Name
*
Last Name
*
Title
Company / Organization
*
Mailing Address Line 1
*
Mailing Address Line 2
City
*
State
*
Zip
*
Daytime Phone
*
Cell Phone
Email
*
Website
What day(s) will you participate?
*
Both Saturday and Sunday
Saturday only
Sunday only
Does your restaurant have insurance?
*
Yes
No
Description of your restaurant and items you wish to prepare
*
Organization description for program
*
Refrigerator($375)
*
None required
1
2
3
4
5
6
Freezer ($420)
*
None required
1
2
3
4
5
6
LP Gas Tank with hose($515.74)
*
None required
1
2
3
4
5
6
Hot Box, Large ($60.00)
*
None required
1
2
3
4
5
6
Electric Outlet 120 V ($50.00)
None required
1
2
3
4
5
6
Electric Outlet 220 V ($50.00)
None required
1
2
3
4
5
6
Water and Sewage Line ($75.00)
None required
1
2
3
4
5
6
Kitchen 1st floor ($50.00)
None required
1
2
3
4
5
6
Kitchen 2nd floor ($50.00)
None required
1
2
3
4
5
6
Electric Griddle ($300.00)
None required
1
2
3
4
5
6
I require the following special equipment:
I accept the terms of the release and waiver.
*
Yes
No
Comments/Questions
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