City of Page | Food Vendor Application

* Required field

Page City Hall
7am-5:30pm Monday - Thursday
697 Vista Avenue / P.O. Box 1180
Page, Arizona 86040
Telephone: 928-645-4201
Email: sptacek@pageaz.gov

Date: *

Please specify which event you are applying for: *

Name: *

Business Name (if applicable):

Mailing Address: *

City: *

State: *

Zip: *

Phone Number: *

Email Address: *

State of AZ / TPT License # (if applicable):

Type of Food Vendor (ie: food truck, booth, trailer): *

Size of Parking Space or Booth(s) Needed: *

Do you have a generator? *

Yes

Are you requesting electricity?* *

Yes

*Electricity is not guaranteed. Electricity is based on order of registrations received.

Are you Registered as a Food Truck or Restaurant in Page? *

Yes

Are you a registering as a 501(c)3 organization? *

Yes

If yes, please enter your Tax Exempt #: (you will have to check the 501(c)3 option during payment)

Registration:

Cost of Food Vendor Booth is $70.
(Non-Profit Entities must show 501(c)3 paperwork to qualify for the $40 reduced fee)
(Registered Food Trucks or Restaurants in Page, please contact Sheri Ptacek; contact info listed above)
Cancelation: We require a minimum of 10 days prior to the event for cancellation. A refund will
be issued within this window, apart from a processing fee of $10. If you do not cancel within the
10 days, vendor fees will be forfeited.
All food vendors are required to have a Food Handler’s Card from the Coconino Health
Department, along with a Temporary Food Service License.
For more information on the Arizona Transaction Privilege Tax License, go to: https://azdor.gov/transaction-privilege-tax-tpt
Insurance is required, naming the City of Page as an additional insured in the amount of
$1,000,000. The Certificate Holder: City of Page, PO Box 1180, Page, AZ 86040.

Vendor Agreement:

This event will be held at John C. Page Memorial Park, Page AZ.
This is an outdoor event and will not be cancelled due inclement weather.
Booth space is 10’x10’ area for those food vendors not in vehicles.
Vendors must provide all required equipment, including extension cords, lighting, etc.
All prepared food sales within the City of Page are taxed at a 10.9% rate; breakdown of taxes and
payments to the State, County and City can be found through the Arizona Transaction Privilege
Tax information found at: https://azdor.gov/transaction-privilege-tax-tpt
Vendors are responsible for cleaning up their vehicle/booth area and removal of all trash.
Only one vendor or business per booth space. All vendors must conduct business within their
designated booth/vending space.
Vendors will receive a vendor map location via email the day prior to the event. For assistance
on the event day(s), please contact the individuals at the City of Page Information Tent.
The City of Page will not be responsible for lost/stolen items, accidents, or personal injuries.

If you are a 501(c)3 vendor please check the 501(c)3 box, otherwise select the full payment option

Select	#	Item Description		Amount			Subtotal
	1	Food Vendor Booth Fee		$70.00			$70.00
	2	Food Vendor Booth Fee [501(c)3]		$40.00			$40.00

Total

$110.00

First Name *

Last Name *

Address *

City *

State *

Zip *

Phone *

Email *

Please confirm your signature by typing your full name in the box below.

I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature.