EasySiteWizard2010 Vendor Application Form

Name: ______________________________________________________

Address: _______________________________________________________

EMail:__________________________________________________

Telephone: _______________________________________________________

Fax: _______________________________________________________

Description of Products or Services for Sale: ___________________________________

_______________________________________________________

_______________________________________________________

Do You have a NS Government Food Permit? (Please circle) Yes or No

(A Food Permit must be prominently displayed at food vending site.)

If no, give details of plan to acquire a permit:___________________________________

_______________________________________________________

Dates Desired to Operate under HarbourFest: ___________________________________

Fee Enclosed (Cheque or Money Order Only, Made Payable to Pugwash HarbourFest):__

Return application and fee to: Pugwash HarbourFest,

P.O. Box 457,

82 Water St, Pugwash, NS B0K 1L0

For further information Email: officemanager@pugwashharbourfest.ca

Or call: 902-243-2275