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Vendor License Application - New

  1. Vendor License Application Form - New
  2. Business Information *
    Provide local business & corporate information
  3. Vendor Activity - Select one or more of the following activities associated with your business.*
  4. Upload a map showing the location the food vending vehicle will be parked.

  5. Which County will the Vehicle(s) Serve?
  6. A Food Service Permit must be obtained from DuPage County's Health Department before this vendor license will be issued
  7. A Food Service Inspection must be completed by the Village's contracted Health Inspector before this vendor license will be issued
  8. Upload a copy of your approved food service inspection report

  9. Upload a copy of your menu for review

  10. Food/Beverage Vending Vehicle Duration

    How long will the vehicle be in use?

  11. Days of Operation
  12. Describe the type of amusement devices

  13. Example:  Soda Machine 1 - CC123456

  14. Preffered Mailing Address*
  15. Machine Ownership – Principals, Sole Owners, Shareholders, Partners, etc.

    If you have additional, please attach the listing.

  16. Machine Location

    Building/Property Owner

  17. Execute*
    By selecting I agree option below you are giving your electronic signature.
  18. No False statements
    Your submission of this form certifies that the information provided is true and correct.
  19. Information for individual completing this form.

  20. Leave This Blank:

  21. This field is not part of the form submission.