Dear Food Vendor: presented by San Dimas Chamber of Commerce P.O. Box 175 San Dimas, CA 91773

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1 Saturday & Sunday, October 6 & 7, 2012 Craft Fair, Parade, Food Court, Little Miss San Dimas Contest, Business Display, Cowboy Shoot-Outs, Reenactments, Kiddie Rides & Games and much more! Over 8,000 People Expected Dear Food Vendor: Your booth space application for the 45th Annual San Dimas Western Days event is enclosed. Please read the information carefully and fill out the application completely. Return the application along with your check and a copy of your resale permit to the San Dimas Chamber. Our Western Days weekend includes: Craft Fair, Parade, Food Court, Little Miss San Dimas Contest, Children s Rides & Amusements, Entertainment, Cowboy encampments and e-enactments, Business Display, Pancake Breakfast, San Dimas PRCA Rodeo, and much more. We hope you will join us for this fun filled weekend for the entire family. The San Dimas Chamber of Commerce will provide you with an electronic flyer for this event with your name listed as a participating vendor so you may promote your upcoming dates at this event. Please make a note on your application to request these flyers. You are an important part of this event, and the Chamber of Commerce and the Western Days Organizing committee will put forth every effort to make this an enjoyable and vendor friendly weekend. presented by San Dimas Chamber of Commerce P.O. Box 175 San Dimas, CA San Dimas Chamber of Commerce 246 E. Bonita Ave., P.O. Box 175 San Dimas, CA officeassistant@sandimaschamber.com

2 San Dimas Chamber of Commerce 45th Annual Western Days Saturday, October 6, :00 a.m. - 6:00 p.m. Sunday, October 7, :00 a.m. - 5:00 p.m. Community Parade Old West Re-enactments Business Displays Street Fair with Crafts and Arts Vendors Food Court Pancake Breakfast Court Little Miss San Dimas Games and Amusements for children Continuous live entertainment Event Area Event Area Event Area City Booths The 2012 Western Days Event Layout and Booth Numbering Is Subject to Change Without Notice. Every effort will be made to accommodate your space request, however, we can t guarantee where your space will be located until after all entries have been received and the final configuration of all space numbering has been updated.

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7 Name of Event: Name of Booth: Booth Operator (First Name, Last Name): (Submit 30 days in advance of the event) Date(s) of Event: Name of Event Organizer: Event Address: Booth #: # of Food Employees: City: Zip: Mailing Address: City: Telephone #: Fax #: Onsite Telephone #: Profit Zip: Non-Profit* *Attach copy of approved Exemption Certification for Community Event Form Pre-packaged Pre-packaged with Sampling Food Preparation Food Demonstrator Annual Pre-packaged at CFM Annual Pre-packaged with Sampling at CFM Annual Preparation at CFM Teriyaki chicken, burrito, popcorn ) (steam table) (unopened, original container) (cutting, washing, cooking) (assembly, cooking) Date Received: Amount Paid: Receipt # Approved By:

8 All food preparation must be completed either in the approved booth or at a permitted food facility. Identify any facility where advanced preparation will take place. Name of Facility: Permit #: Address of Facility: Name of Facility: Permit #: Address of Facility: Cold Holding: Mechanical Refrigeration Ice Chests Hot Holding: Steam Table Chaffing Dishes At the end of the operating day, all potentially hazardous food that is held at 45 F At the end of the operating day, all potentially hazardous food held at or above 135 F Sneeze Guards Hinged Chafing Dishes Only pre-packaged Food or Bottled Drink Other (Specify): Prepared and stored away from the customers Will multi-use kitchen utensils (knives, scoops, spatulas, bowls) be used? Yes No Identify all utensils that will be used in food preparation at the food booth: Food preparation booths must be constructed with 4 sides, a washable floor and overhead protection. Pre-packaged food booths require a washable floor and overhead protection. Floor Material: Wall Material: Ceiling Size of Pass Material: Through Window:

9 Sponsor/Organizer Prepackaged only (not required) Food Booth Operator (complete Liquid Waste Disposal section) Sponsor/Organizer Pre-packaged only (not required) Food Booth Operator (complete Liquid Waste Disposal section) Permanently plumbed sink Self contained portable sink Gravity fed unit Water Source: Volume of Water: Gallons Connected to public sewer Waste tank ( Gallons) Waste tank maintenance schedule per day per hour Name: Address: Telephone: ( ) I understand that failure to meet the conditions identified in this application or failure to comply with requirements set forth in the California Health and Safety Code may result in the disposal of food, suspension of my approval to operate and/or may result in the filing of misdemeanor criminal charges. I understand that once the application is reviewed the application fee is non-refundable. Print Name: Signature: Telephone: Cell Phone: