Burlington Steamboat Days, Inc. Vendor Application

Are you a:*
- Food Vendor
- Non-Food Vendor
Are you affiliated with Kenny's Funland carnival?*
- Yes
- No
Are you a non-profit enterprise?*
- Yes
- No
Business Name*
Contact Name(s)*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Business Phone #*
Home Phone #*
Cell Phone #*
Primary Phone # from May to June?*
Email*
Describe your unit (include a photo unless we have one on file)*
Unit Photo*
Physical Length of unit - Including hitch & stairs:*
Is hitch retractable?*
- Yes
- No
Type of cooking method:*
Voltage required*
- 110
- 220
Total number of amps needed*
**Please be specific on electrical needs, as you will not be allocated any more than requested on this application!!! List requested menu or products you wish to sell (you may be limited to what you can sell to reduce duplication)*

Suggested Menu / Product Items*

Expected Selling Price*
Do you presently carry liability insurance coverage on your business?*
- Yes
- No
Please provide a minimum of two references:**
Event Name: Event Address: Contact Person: Phone Number:
If not selected and a cancellation occurs, are you able to come on short notice?*
- Yes
- No
- Maybe
Name*
First Middle Last
Date*
Please submit a separate application for each unit (by Mail, Email or Fax).
Applications due by Feb. 15, 2017. Notifications will be made by mid-March.

Please submit a separate application for each unit (by Mail, Email or Fax).