* 1. Vendor Registration:

* 2. Do you need electricity (only 110V is available)?

* 3. Company Name (this will be used for your booth sign & collateral at the event):

* 4. Please provide company contact information:

* 5. We are showcasing the following products (Please be specific):

* 6. If you will be sampling food products, please provide the following:

* 7. Have you submitted your health permit information to Placer County?

* 8. Payment method:

* 9. Additional Comments:

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