Food Truck Application — First Friday Downtown Havasu

APPLICANT INFORMATION

Name

First Name

Last Name

Phone

(###)

###

####

Food Truck Name

Truck Dimensions

CUISINE

Type of Food

Due to short length of event, we recommend a shortened menu (3-4 items). Please list your menu items for the event.

LICENSES & PERMITS

LHC Business License #

AZ TPT #

Mohave County Health Permit # • Annual or Temporary

Insurance Provider and Policy #

EVENT DATES

Requested Participation Dates • *Does not guarantee acceptance to each date requested*

NOV 7

DEC 5

NYE • DEC 31

FEB 6

MAR 6

APR 3

MAY 1

MARKETING IMAGES

FEE

Food Truck Fee is $50. Invoice will be sent to you after the application is approved.

I Understand