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2. • Date: Friday, Nov. 24
   • Time: 5 – 9 p.m. 
   • Location: Lafarge Lake in Town Centre Park
4. Food Truck Name*
6. Contact Name*
8. Daytime Phone Number*
9. Email*
11. Company website and social media pages:
13. Tell us about your food truck menu options and pricing. Please include any vegan or vegetarian options as applicable.*

    Your acceptance will be evaluated based on these responses.

15. Have you participated in a City of Coquitlam event previously? If so, what event and what year?*
17. Please list other events you have recently participated in and the estimated attendance.*
19. What eco-friendly food packaging and utensils will be provided to customers?*
21. Please indicate the size of your food truck:*
23. Please upload your valid food permit.*
25. Please upload your approved fire inspection decal.*
27. I will make full payment of $200 plus taxes where applicable by Friday, Nov. 3.*

    1. Yes
29. I will provide my own water, power and other logistics needs to operate. *

    1. Yes
31. I agree that vendor placement is at the discretion of the City based on event needs.*

    1. Yes
33. I agree that failure to provide at least 30-business day notice of cancellation may jeopardize future City of Coquitlam event opportunities.*

    1. Yes

35. Information provided on this form is considered contact information and is not subject to the British Columbia Freedom of Information and Protection of Privacy Act (FIPPA).

Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field