Barstow Mojave Trail Days, March 1st and 2nd, 2008

Vendors Application

 

COMPANY NAME

MAILING ADDRESS, NAME

 

STREET NUMBER / APT#

CITY

STATE                                                   ZIP

PHONE            HOME / BUSINESS                                  CELL                                                                       FAX

E-MAIL

WHAT ARE YOU SELLING?

PERMIT #

 

Food vendors must include a copy of San Bernardino’s Health Permit.

 

Liability: We (the SOBs and the Barstow Chamber of Commerce) are not responsible for loss or damage of property, or liable for injury on your site/location.  Official security is not provided, but unofficially there will be cowboys watching over all that goes on during the day & night. Police will be patrolling the area, and you will be able to set up camp behind your business if you are located in the western town area. Free dry camping is available.

 

Set-up: Saturday, March 1st, 6:00 a.m. Check-in at the info booth under the American Flag.

Hours:  9:00a.m. to 5:00...Sat, 9:00 a.m. to 4:00...Sun. Special Vendors Drawing, 3:00 p.m...Sun. (Prize-Return Vendors Fees)

Spaces: Blacktop (10 X 10), With room to walk. Western Town, dirt (25X30). If more than one space is needed; adjust price accordingly. 

 

signature                                                                                             DATE                                       TOTAL $

 

Make Checks payable to:      SOBs (Sons of the Badlands)               Price: $150, Before 2/1/2008

MAIL TO: SOBs, 43217 Mandrill St, Newberry Springs, CA 92365             $220, On / After

Web Site:        www.mojavetraildays.com         E-Mail:                      headsob@msn.com

Phone:                         (760) 257-3144

 

CITY OF BARSTOW     220 E. Mt. View, Barstow, Ca. 92311    

Application for Business License (TITLE 5, BARSTOW MUNICIPAL CODE)

BUSINESS NAME                                                                                                                                                      PHONE

BUSINESS LOCATION     STREET & NUMBER (NO P.O. Box)            STE / APT#             CITY                       STATE             ZIP CODE

MAILING ADDRESS ( if different )

IS APPLICATION FOR A            SOLE OWNER                                   PARTNERSHIP                                           CORPORATION

NAME / TITLE                               MAILING ADDRESS                                                                                               PHONE

NAME / TITLE ( if Partnership )                     MAILING ADDRESS                                                                                  PHONE

PROFESSIONAL / AFFILIATE / ASSOCIATE                 MAILING ADDRESS                                                                         PHONE

GIVE FULL DESCRIPTION OF BUSINESS ACTIVITY:                                                                                         Number of Employees

BUSINESS START DATE:                   APPLICANT DRIVERS LICENSE #                      STATE LICENSE #                           TYPE OF STATE LICENSE

RESALE PERMIT #                  FEDERAL I.D. #                           STATE I.D. #                                             If none - SSN#

IS THIS A CHANGE IN OWNER?                           PERVIOUS OWNER'S NAME                         OFFICIAL USE

BL#

IS THIS A NAME CHANGE?                        PREVIOUS NAME

BL#

IS THIS AN ADDRESS CHANGE?                    PREVIOUS ADDRESS

BL#

WILL YOU USE ANY CHEMICALS OR FLAMMABLE MATERIALS? If yes, then Supplemental Form HM-1 needs to be completed

PLEASE PRINT FULL NAME:

I CERTIFY UNDER PENALTIES OF PERJURY THAT THE CONTENTS HEREOF ARE TRUE AND CORRECT.                       X $______________

SIGNATURE __________________________________TITLE___________________ DATE ______________

FOR OFFICE USE ONLY

BUSINESS LICENSE #                                                               SIC #                                    AMOUNT RECEIVED

BUSINESS LICENSE FEE $                   PROCESSING FEE $ 40.00                                                           TOTAL DUE $

INSPECTIONS: Fire___________________________ Health________________________ Zoning___________________Building_____________________

POLICE__________________________OTHER____________________________FBN________________

HOP # ___________DATE ISSUED___________CUP #______________DATE ISSUED______________TP#____________ DATE ISSUED___________