Treasure on the Mountain Food Vendor Application Date of Application* Date Format: MM slash DD slash YYYY Organization Name*Contact Name*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Please list the Quanity, Price and Description of what your organization wants to provide:*QuantityPriceDescription Have you provided food in the past?*YesNoWill you have a trailer on the raffle grounds?*YesNoWhat size?Will you need electric? Please note you will need to bring your own electric cords.*YesNoAdditional CommentsIf your application is approved – you will receive the Vendor Agreement to complete and return. In addition you must be able to provide the below: Organization must abide by the WV Health Department Guidelines for Operating a Temporary Food Service Concession. Organization must display a copy of their Food Handler’s Permit & Business License. Organization shall provide to the Snowshoe Foundation a Certificate of Liability Insurance form naming Snowshoe Mountain Inc. as additional insured with limits of $1 million per occurrence and $2 million general aggregate. The deadline for submitting food vendor applications has passed.