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May 29 & 30, 2010
Food Vendor Entry Form
Name of Business ______________________Contact Person ______________________
Address___________________________________Phone # ______________________
Email _____________________________________ Size of Booth_________________
Type of Food(s) to be sold________________________________________________
_______________________________________________________________________
By purchasing a booth space, I agree that I am in compliance with Kiowa County Health Department Regulations. Questions??? Call Dale Mills at (580) 726-3316.
Check One:
For Profit Vendors:
Without Electricity $60 _____ With Electricity $75 _____ (110 volt)
Not For Profit Vendors (church, school, etc.):
Without Electricity $35 _____ With Electricity $50 _______ (110 volt)
Booths will be assigned to a general area and may be assigned a specific space depending on the number of entrants. Electrical outlets are limited and will be provided on a first come first served basis. We do not provide water or sewer services.
Please mail this completed form with your fee to:
Hobart Chamber of Commerce
106 W. 4th
Hobart, OK 73651
(580) 726-2553
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