FOOD VENDOR REGISTRATION -

Business Name *

Email *

Phone Number *

Mailing Address

Contact Person *

First

Last

Which "At the Market" date would you like to register for?

County Health Department Permit Number.

Country Health Department Permit Expiration Date.

Describe what food you will be donating to "Party at the Market". *

What is the quantity? *

Will you/your company be serving at the farmer's market? *

Please indicate whether you are donating food, or would like to serve in a booth “At the Market”.

If yes, what space size will you need?

Will you be providing your own tent/umbrella?

Will you be serving prepackaged foods? *

Will you be cooking/preparing food on site? *

If yes, do you have the equipment required by County of Los Angeles for onsite food preparation? *

FOOD VENDOR REGISTRATION