Type Full Name :
Sign With Hand
Business Information
Are you Self-Employed? *
Number of Vehicles
City *
Email *
Event Information
State *
Provide details of when, and how long the vending license is required for.
Mobile Vendor Application
State *
List Vehicles *
Certification
ZIP *
Phone *
Applicant Signature *
The fee for a Mobile Vendor in Your Town is:
One (1) Day$25.00
Two (2) Days$50.00
Three (3) Days$75.00
Four (4) Days$100.00
Annual$125.00
City *
First Name *
Describe All Items to be Sold *
Phone *
Address *
ZIP *
Vehicle Information
How long will you be Selling? *
Address *
Business Name *
Last Name *
Event Date/Start Date *
Will you be Selling Food Items? *
Email
Amount Due
License Fee
Your
Town
Provide details of every vehicle that will be operated by the business, above, within Your Town.
Applicant Information
123 Main Ave, Your Town, USA 90210
(555) 973-2212
www.yourtown.us