Medina Cultural Heritage Day
Saturday, August 29, 2009
10am-8pm

FOOD CONCESSIONAIRE APPLICATION FORM

Business Name:

Phone:

Contact Person:

Title:

Email Address:

Website:

Full Mailing Address:

Food prices must be in multiples of $1.00
List of food for sale:

1.________________________________________________________________________________

2.________________________________________________________________________________

3.________________________________________________________________________________

4.________________________________________________________________________________

IMPORTANT INFORMATION, MUST BE COMPLETED:

A. Tent space has and 8’ frontage and is about 10’ deep. If you need more space, please attach an explanation.
B. I require water, YES / NO. (vendor must provide food quality hoses)
C. My entire setup will require 220 or 110: ________ volts and 20 amp or 30 amp ( please circle one).
D. I will use the following equipment:

a.____________________ requiring ______volts and ______amps.

b ____________________requiring ______volts and ______amps.
• Electricity at the site is limited. Please consider alternate means of keeping food hot or cold, such as chafing dishes, coolers with ice, etc.
• All food vendors must pass inspection on site by the Medina County Health Department before the event begins

ELECTRICAL INFORMATION

1. Applications will not be processed without complete information about electrical systems.
2. Main Street, Inc. will supply 220 volt or 110 volt, 30 amp MAXIMUM electrical service. Main Street Medina,
will not provide wiring or service on your electrical systems; and
3. Please be accurate concerning your electrical needs (amperage). Amperage can be found on all electrical appliances.