VENDOR APPLICATION

CONTACT NAME *

CONTACT PHONE NUMBER *

CONTACT EMAIL ADDRESS *

CONFIRM EMAIL *

BUSINESS INFO

BUSINESS NAME *

WEBSITE OR FACEBOOK PAGE *

Street Address *

City *

State *

Zip Code *

OWNER-OPERATED? *

YES

NO

LENGTH OF TIME IN BUSINESS *

TYPE OF VENDOR *

FOOD TRUCK

FOOD TRAILER

NON FOOD VENDOR

What are your truck/trailer/tent dimensions? *

DESIRED SHIFTS PER MONTH *

1-2

2-4

4-10

10+

DO YOU ACCEPT CREDIT CARDS? *

YES

NO

TYPE OF FOOD OR PRODUCT OFFERED *

Do you have an Allegheny County Health Department License? *

YES

NO

Do you need local truck storage options? *

YES

NO

Do you have business insurance? *

YES

NO

Do you require grease disposal? *

YES

NO

Where is your commissary kitchen located? *

Do you require electrical hookups? *

YES

NO

Do you use a generator? *

YES

NO

What is the brand and size of your generator? *

Explain any electrical requirements *

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Anything else we need to know about your business? *