UConn Earth Day Spring Fling 2013

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* 1. a) Name of Organization*
b) Type of Organization (ex: Food/Health, Green Energy, Environmental, UConn Organization, etc.)*
c) Please provide a brief description of what your organization's environmental/sustainability contributions will be at UConn's EDSF.
*See Question 3

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* 2.
a) Name of Contact Person*
b) Email Address*
c) Phone Number*
d) Organization Website*

*See Question 3

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* 3. *Would you like this information to be included in the public directory?

yes

no

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* 4. Will you be giving any food samples or selling any food items?

NOTE: If you are offering food samples or selling food items you must apply for a temporary food service permit from the UConn Office of Environmental Health and Safety. Forms are available at the following website: http://www.ehs.uconn.edu/food/request.php. In the “Remarks” section, please state that you are participating in Earth Day Spring Fling in order to waive the associated fee. Additionally, only packaged food may be sold. Please submit form by MONDAY, APRIL 1.

yes

no

If yes, please explain:

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* 5. What dates are you able to attend?

Attending April 18 and April 19 (inclement weather date)

Attending only April 18

Attending only April 19 (inclement weather date)

Other (please specify)

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* 6. Will you be promoting, distributing, or selling any items or samples (other than food)?

no

yes, promoting a product

yes, distributing samples

yes, selling a product

Please briefly describe your product:

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* 7. Each vendor will be provided one 6-foot buffet style table. You are responsible for providing your own tents, coverings, etc. Will your display have any additional space or seating requirements?

no

yes

Please describe additional needs here:

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* 8. Electricity is available for the event, but you will need to provide your own extension cords. Will your display require electricity?

no

yes