Food Truck Interest Form

Applicant/Business Name: *

Primary Contact Name *

Phone Number *

Email *

Social Media handles (if you have any)

Mailing Address: *

Business Type: *

Sole Proprietor

LLC

Corporation

Partnership

Federal EIN: *

State Business Registry Number (if applicable)

Unit Type: *

truck

trailer

cart

other

Make: *

Model: *

Year: *

License Plate #: *

Vin #: *

Approx. Dimensions (L+W) *

Approx. Cumulative Weight *

Service Window Side *

Driver

Passenger

Power: *

generator

shore power

other

List events (from above) that you're interested in vending at (include event name and date) *

Food Service Permit #: *

Provide a brief menu description *

Please check each box you are able to provide documentation for. You do not need to attach the documentation. Documentation of the below will be requested upon approval of participation. *

Government-issued photo ID

Proof of state or oregon business registration

Proof of General Liability insurance, and accompanying Additional Insured Endorsement, naming City of Wilsonville as additional insured

Current health department permit / license (if applicable)

Copies of Food Handlers Permit for those working events

Menu and price list

Insurance Carrier: *

Policy #: *

Coverage Limits (Per Occurrence & Aggregate): *

By typing my name, I certify that the information provided in this form is true and complete to the best of my knowledge. I understand that approval is contingent upon meeting applicable local, state, and federal requirements and staff discretion. If selected to participate as a food vendor at an event, I agree to comply with all site rules and to maintain required insurance during operations. *

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