PHA VENDOR FORM

Name *

First Name

Last Name

Phone *

(###)

###

####

Do you have Insurance? *

Yes

No

Do you have a Vendor's License or Certificate? *

Yes

No

If you are serving food, do you have your ServSafe Food Certification?

Yes

No

Do you have your own tables and chairs?

Yes

No

Which game dates are your interested in being a vendor? (Click all that apply) *

Vendor Set Up: 4pm to 5:30pm Doors Open: 6pm Gametime: 7pm to 9pm (No later than 9:30pm) *Vendors Must Exit Building No Later Than 10pm

Saturday, July 12, 7pm

Saturday, July 19, 7pm

Saturday, July 26, 7pm