Retail Vendor

Food or Retail Vendor Name: *

Contact Name: *

E-mail: *

Phone: *

Cell Phone: *

Mailing Address: *

City, State, ZIP: *

Current Colorado State Health License #:

Description of Food or Retail Products to be served or sold: *

1st Booth Location Choice:

Refer to the map (attachment at the bottom of this form) for Booth Locations

2nd Booth Location Choice:

Refer to the map (attachment at the bottom of this form) for Booth Locations

3rd Booth Location Choice:

Refer to the map (attachment at the bottom of this form) for Booth Locations