Please fill out this form to request a Heatlth Department Permit Application, the form can be mail out to you, email (ms word format) or you can download it after we have recevied your request! .

The Heatlth Department Permit Application must be complete, must be mailed together with Event Vendor Application and all fee's must be paid in full!
Thank you

What type of food booth vendor?:
Please Select Operator Serving/Handling potentially hazardous Foods Operator Serving/Handling non-potentially hazardous Foods and are pre-packaged Demonstrator other

* Required Information

* Company Name:

* First Name:
  

* Last Name:

* Address:
  

* City:

* State/Province:
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* Zip/Postal Code

* Country:
  

* Email Address:

* Phone:
  

* Cell Phone:
  

* Fax:
  

So that we can serve you better, please provide further details of
your question/s in the box below.

 

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Thank you, we will get back with you asap by Email, Letter or a Phone Call.

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