Local Fare Produce Photos
Local Fare: Locally raised food is part of economic development and a healthy, vibrant Southwest Wisconsin

Exhibitor/Vendor Registration Form

University of Wisconsin-Platteville Office of Continuing Education
Local Fare Fall Marketplace
Sunday, September 27, 2009, from Noon until 4PM
 

  1. Vendor Information

    Business Name:

    Representative's Full Name:

    Business Address:

    City:

    State:

    Zip Code:

    Telephone:

    Fax:

    E-mail Address:
     
  2. Number of 6-foot tables:
    (Vendor spots will be 8'x10', and vendors are responsible for their own table coverings.)
    One (1)
    Two (2)
    Three (3)
     
  3. Does your exhibit require electricity?
    Yes
    No
     
  4. Method of Payment ($25):
    Please reserve space and bill our company
    Call credit card information in to (608)342-1314 or 1-888-281-9472
    Fax credit card information to (608)342-1454
     
  5. Do you presently hold a food handler permit? If so, please present a copy at the event.
    Yes     Expires:
    No
     
  6. Our company can provide the following food/drink samples:

     
  7. Please describe the products that you will be selling and/or the information you will be providing:

     
IMPORTANT: There will be no refunds for cancellations received after September 20, 2009.