FOUNDER'S DAYVENDOR APPLICATION Name of Business/Organization* Contact Person* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Cell Number to be used day of event* Booths will be 10 x 10 - Vendors must bring all items needed for booth* Information Booth Craft for Children Items for Sale Food Other Do you require electricity? Yes No If selling food or items, please list what specifically you will be selling.If yes to Other, explain: This application is not completed until the $10 Vendor Fee is paid. We take cash or check. Monies can be sent to City Hall at PO Box 707, Att: Chelsea Young, Mulberry, FL 33860, or they can be paid in person to City Hall located at 104 S. Church Ave., Mulberry, FL 33960 Δ
