<p> 2017 NATIONAL CORNBREAD FESTIVAL PO Box 47, South Pittsburg, TN 37380 Sign-Up Form-Food Vendors Include $25.00 non-refundable sign up fee DEADLINE 12/31/16 APRIL 28, 29 & 30, 2017 Name of Group/Individual: ______Contact Person: ______Phone#:______Fax#: ______E-Mail: ______Address: ______City, State, Zip: ______</p><p>WE REQUIRE THE FOLLOWING INFORMATION. IF NOT SUPPLIED YOUR APPLICATION WILL NOT BE CONSIDERED.</p><p>Check One: ____NON-PROFIT ORGANIZATION ___INDIVIDUAL ____PROFIT ORGANIZATION</p><p>Booth space: (include tongue for trailers) FT: ______How many Tent(s) ______and/or Trailer(s): ______</p><p>Do you require electricity: ______IF YES, please list on back of this form what you will need electricity for (example, lights, etc) and how many 110v plugs and/or 220v plugs per item listed and Amps. Please also list any OTHER special needs. (Please supply male & female plugs). Please note: you will need extension cords & these are not furnished by the festival. There will be an electrical connection fee.</p><p>Do you require water at your booth space other than for clean up purposes? </p><p>Attach proposed menu with prices WE MUST HAVE YOUR PRICES.</p><p>First Time Vendors: 1) Have you participated in any other festivals, shows, etc? ______If so, please furnish names: ______</p><p>2) If available, please furnish a photograph of your group/individual/booth.</p>