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Willowbrook / Burr Ridge Chamber of Commerce and Industry Cruisin 66 Fest
Saturday, August 9, 2014 11:00AM to 3:00PM Harvester Park
15W400 Harvester Drive, Burr Ridge, IL 60527
FOOD BOOTH APPLICATION Food Vendor Name ____________________________________________________________________________ Address _________________________________________ City _____________________________ St __ Zip _________ Contact Name _____________________________________ Phone No. ______________________________ The Chamber will provide a space. Please list your food and beverage items:
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
A HEALTH DEPARTMENT PERMIT is required. *Note: Food vendors are required to apply for a permit. Please contact The DuPage Health Department @ 630-221-6110. A CERTIFICATE OF INSURANCE naming the Willowbrook/Burr Ridge Chamber of Commerce and Industry, it’s
officers, directors, employees and volunteers as additional insured is required. ELECTRIC, 110V, can be provided if needed. However, must be advised in advance. YOU MAY SELL BEVERAGES. YOU MAY ACCEPT CASH FROM CUSTOMERS and set your own pricing. Any questions? Call the Chamber office (630) 654-0909. CHECK LIST - Everything must be in by July 18, 2014 1. COMPLETED APPLICATION FORM 2. DU PAGE COUNTY HEALTH DEPARTMENT PERMIT * 3. CERTIFICATE OF INSURANCE I have read the information printed on this application and will adhere to all policies listed. Signature ________________________________________ Date _________________________________
Return to: Willowbrook/Burr Ridge Chamber of Commerce and Industry 8300 So. Madison Street, Burr Ridge, IL 60527