Wheaton Chamber Member. Non- Wheaton Chamber Member. Dear Restaurant Owner:

Size: px
Start display at page:

Download "Wheaton Chamber Member. Non- Wheaton Chamber Member. Dear Restaurant Owner:"

Transcription

1 Dear Restaurant Owner: Plans are currently underway fr Taste f Wheatn 2018 presented by the Wheatn Park District and Wheatn Chamber f Cmmerce. We are very excited abut this year s event, and anticipate that mre than 20,000 peple will enjy these festivities lcated in Memrial Park and thrughut dwntwn Wheatn. This year s festival will ffer a 5/10K Run fr the Animals t benefit Csley Z, and expanded art fair, children s entertainment, carnival rides, beer tent, business exp and a fine entertainment line-up. One f the key elements f the fest that participants lk frward t is ur Fd Vendr rw, featuring lcal and fest treats. We are currently accepting applicatins fr fd vendrs fr the event. This year s fest ffers the fllwing vending pprtunities: DATE TIME Menu Restrictin OPEN TO NON-WHEATON CHAMBER MEMBERS/VENDORS? Bth Limit Thursday, May P Up t 3 items + pp YES 20, June 1 4-9P Up t 3 items + pp YES 25, June 2 10A-9P Up t 3 items + pp YES 25, June P Up t 3 items + pp YES 20 There will be up t twenty-five (25) 8 x8 tented bths available (see restrictins n Thursday and abve), tents are prvided by the park district and include a table and chair. If yu require additinal tables and chairs it is yur respnsibility t prvide them n event days; a refrigerated truck t stre apprved perishables nly will be available n the grunds n the days f the event. We will have limited number f electrical hk-ups available n a first-cme, first served reservatin basis. T help ffset the numerus expense in running the festival, such as bth cnstructin, electricians and publicity, there are feeds assessed t fd vendrs, please see chart f pricing belw. Please make yur check payable t the Wheatn Park District Taste f Wheatn Fd Vendr Fees are as fllws: Wheatn Chamber Member Thursday Thursday* Thursday,, BEST VALUE $200 $600 $500 $600 $700 $200 Nn- Wheatn Chamber Member, Thursday,, Thursday,, Thursday, & BEST VALUE $250 $800 $700 $800 $900 $250

2 The Taste f Wheatn is a high quality event and we are attempting t prvide a level f exclusivity fr fd items prvided by each vendr. The items will be determined by the Taste f Wheatn Cmmittee, based n member affiliatin, past participatin and the menu items yu list n yur applicatin. Yu will be able t list up t six items n the applicatin but will nly be able t sell three (3) items per fd bth. We are asking fr additinal items s that we can avid duplicate items at the fd bths. If yu want t sell mre than three (3) items, yu will need t purchase an additinal bth. We will begin t assign bths by Tuesday, April 24, We encurage yu t return yur applicatin t us befre this date t ensure cnsideratin. Applicatins received after this date will incur a $40 late fee. Accepted vendrs will be cntacted by Tuesday, May 8, 2018 with a cnfirmatin . Guidelines t fllw: - Yur payment (in the frm f a certified check, mney rder, credit card r cash) must accmpany yur applicatin. Payment shuld be made t: Wheatn Park District. Hwever, we will nt prcess payments until the fd vendrs are selected. - Yu will be able t list up t six items n the applicatin but will nly be able t sell three (3) items per fd bth pending cmmittee apprval. - Yu may nly sell the menu items apprved fr yu by the Taste f Wheatn Cmmittee. Failure t cmply with this will result in dismissal frm the event withut a refund. - Yu must cmplete the electric needs and utlet request n yur applicatin. - Yu must cntact the DuPage Cunty Health Department prir t the event t register fr yur permit and ensure yu are aware f any changes in regulatins (infrmatin included in this packet). - The Wheatn Park District and the Wheatn Chamber f Cmmerce will be selling f sda and water! Yu may als sell these items frm yur bth hwever we ask that yu keep the $2.00 PER 12z Can and/r 16.9z Bttle Water. These beverages d nt cunt as ne f yur 3 items. As always, in rder t be cnsidered fr participatin in this year s event, yu will need t include a cpy f yur certificate f insurance naming bth the Wheatn Park District and the Wheatn Chamber f Cmmerce as additinally insured fr general liability and bdily harm with yur applicatin and payment. Please remember that yu must secure a temprary fd service permit that is issued by the DuPage Cunty Health Department fr this event. Cunty Inspectrs will visit each bth prir t pening. Due t the size and high quality f the event, we have als included in this packet a list f sign makers if yu are in need f a banner t advertise n the day f the event a yur bth. We lk frward t a successful event and invite yu t be a part f, Taste f Wheatn 2018! If yu have any questins, please cntact me using the infrmatin listed belw. Sincerely, Daniel J. Nvak Superintendent f Special Facilities Wheatn Park District 102 E. Wesley Street Wheatn, IL Fax: Office: dnvak@wheatnparks.rg

3 Fd Vendr Applicatin Cmpany Phne Cntact Address City State Zip Are yu a Wheatn Chamber Member? Yes N Are yu a DWA Member?.. Yes N Electrical hk-up required?... Yes N If Yes, number f amps required If Yes, number f utlets required MUST BE COMPLETED: What will electricity be use fr (be very specific)? Please select yur level f participatin belw: Wheatn Chamber Member: Thursday nly $200 Thursday- $600 & $500 - $600 Thursday- $700 nly $200 NON- Chamber Member: Thursday $250 Thursday- $800 & $700 - $800 Thursday- $900 nly $250 A late fee f $40 applies t all applicatin after April 24, Bth assignments will be made beginning May 8, Please keep yur fd prices at $6 and under. Nn-members must pay by credit card, cashier s check, cash, r mney rder. There will be NO refunds due t inclement weather n the day f the event. Menu Items (Be very specific, ne item per line.) Fd item(s) t be sld and apprximate price per item 1 st Item: 2 nd Item: 3 rd Item: 4 th Item: 5 th Item: 6 th Item: Will yu be selling? Sda (12 z. can) YES NO Price: $2.00 Water (16z. bttle) YES NO Price: $2.00 Only 3 items per bth will be apprved. In the event that several vendrs wish t sell the same item, the cmmittee reserves the right t direct a change in fd, recmmending ne f the listed 4-6 th items. This will be dne n the pririty basis listed abve (WCC member, DWA member, previus event participant, etc.); the vendrs will be cntacted t discuss it. Payment Infrmatin Payment Type: CREDIT CARD (Visa) CREDIT CARD (Mastercard) Check (payable t Wheatn Park District) Cashier s Check Name n Card: Amunt t be charged: Signature: Credit Card Number: Date: Expiratin Date: Office Use Only Receipt # Date Prcessed: Nte: Yur applicatin will nt be prcessed withut an authrized signature abve. By signing this dcument, yu are guaranteeing that yu will fllw the attached guidelines fr this event including selling nly the items apprved by the Taste f Wheatn Cmmittee and that yu will nt sell any alchlic beverages. If these guidelines are nt adhered t, yu will be immediately frm the event withut a refund. Remit Payment: Wheatn Park District, 102 E. Wesley Street, Wheatn, IL Attn: Dan Nvak / Taste Fd Vendr

4 DuPage Cunty Health Department Permit Applicatin Steps 1. Review the Temprary Fd Service Requirements Bklet nline t learn abut fd safety at temprary fd events. 2. Cmplete the Temprary Fd Service Applicatin. 3. Submit the applicatin frm and fee (see belw) t the apprpriate Public Health Center at least 10 days prir t the event. 4. After yur permit applicatin is prcessed, the permit will be given t yu n-site after an inspectin. Fees and requirements fr Temprary Fd Service Permits are based n a risk type. Yur risk type is determined by the menu items and the amunt f fd preparatin t be dne n-site (see chart belw). Final determinatin f risk type and fee are made by the area Sanitarian. Fr any questins regarding yur risk type determinatin, cntact the area Sanitarian. FEE LATE FEE RISK CATEGORY DEFINITION (If less than 10 befre event) $62 + $ B Fds with minimal t n handling during preparatin and service. $125 + $ B Ptentially hazardus fds that require limited handling and assembly n-site prir t cking r serving OR nnptentially hazardus fds that require extensive n-site preparatin. $202 +$ B Ptentially hazardus fds that require extensive preparatin r assembly n-site prir t cking r serving. Fee Exempt Fee Exempt Fee exempt rganizatins must still btain a permit and are subject t all permit requirements A temprary event peratr that has Illinis nt-fr-prfit status that uses the event as a fundraising activity. Nte: The Sanitarians reserve the right t limit menu items t assure fd safety. Nte: Fee exempt rganizatins must still btain a permit and are subject t all permit requirements. Nte: The Sanitarian must apprve menu and bth questinnaire befre a permit can be issued. If yu have questins, r t btain an applicatin fr a Temprary Fd Service Permit, please cntact the Area Sanitarian at ne f the Public Health Centers listed belw: WEST+ NORTH SOUTHEAST EAST 111 N. Cunty Farm Rd W. Lake St. 422 N. Cass Avenue 1111 E. Jacksn St. Wheatn, IL Addisn, IL Westmnt, IL Lmbard, IL Phne Phne Phne Phne Fax Fax Fax Fax Cntacts fr the Wheatn are Stephanie Guerrasi and Charlie Payant.

5 CERTIFICATES OF INSURANCE Yu MUST prvide a certificate f insurance naming the Wheatn Park District, Wheatn Chamber f Cmmerce, and the City f Wheatn as the Certificate Hlder and Additinally Insured. Certificates are due NO later than Tuesday, April 24, Please r fax certificate t: Wheatn Park District Attn: Dan Nvak Superintendent f Special Facilities 102 E. Wesley Street Wheatn, IL dnvak@wheatnparks.rg FAX:

Indiana Boer Goat Classic Summer Show Series

Indiana Boer Goat Classic Summer Show Series The Summer Shw Series is designed t encurage the exhibitin, marketing and prmtin f Ber and Meat Gats in and arund the State f Indiana. Any shw chsen t hst a Summer Shw Series Event must be pen t all IBGC

More information

KEYSTONE OKTOBERFEST 2018

KEYSTONE OKTOBERFEST 2018 KEYSTONE OKTOBERFEST 2018 Fd Vendr Applicatin September 1 st / 1pm-6pm Saturday / Keystne, Clrad EVENT DETAILS Date: Saturday, August 18 th, 2018 Hurs: 1:00PM 6:00PM Lcatin: River Run Village, Keystne

More information

VILLAGE OF SCHILLER PARK COOK COUNTY, ILLINOIS

VILLAGE OF SCHILLER PARK COOK COUNTY, ILLINOIS VILLAGE OF SCHILLER PARK COOK COUNTY, ILLINOIS Prcedures and Applicatin fr Village f Schiller Park Cnsideratin f Ck Cunty Real Estate 6B Classificatin This applicatin is nly used fr petitin f a standard

More information

AAFMAA CAP FAQs. General Questions:

AAFMAA CAP FAQs. General Questions: Overview: AAFMAA has prvided Career Assistance Prgram ( CAP ) lans as a benefit f membership fr many years. We have cmpiled this list f Frequently Asked Questins fr yur cnvenience and t prvide yu with

More information

Food Exhibitor Application

Food Exhibitor Application KEYSTONE 5 TH ANNUAL OKTOBERFEST 2017 Menu Guidelines: Fd Exhibitr Applicatin September 2 nd / 1pm-6pm / Keystne, Clrad All menu items must be priced between $1 - $5. Each exhibitr can serve up t 3 items.

More information

Merchant Exhibitor Application

Merchant Exhibitor Application Merchant Exhibitr Applicatin August 5 th & 6 th / 1pm-5pm bth days / Keystne, Clrad This year we are celebrating the 21 st Anniversary f the Keystne Bluegrass and Beer Festival with tw day filled with

More information

AAFMAA CAP FAQs. Q: What are the requirements for a CAP loan? A: The following items are required to receive a CAP Loan: Eligible military status: o

AAFMAA CAP FAQs. Q: What are the requirements for a CAP loan? A: The following items are required to receive a CAP Loan: Eligible military status: o Overview: AAFMAA has prvided Career Assistance Prgram ( CAP ) lans as a benefit f membership fr many years. We have cmpiled this list f Frequently Asked Questins fr yur cnvenience and t prvide yu with

More information

Retail Food Establishment Change of Ownership

Retail Food Establishment Change of Ownership Dear Retail Fd Establishment License Applicant: Retail Fd Establishment Change f Ownership If yu are assuming wnership f a licensed retail fd establishment, and yu meet the fllwing cnditins, yu may submit

More information

ISA CERTIFIED ARBORIST APPLICATION

ISA CERTIFIED ARBORIST APPLICATION ISA CERTIFIED ARBORIST APPLICATION This applicatin must be received at least 12 WORKING DAYS prir t the date f the chapter r assciate rganizatin exam fr which yu are applying. There is n deadline fr the

More information

2014 Co Op Advertising Program

2014 Co Op Advertising Program 2014 C Op Advertising Prgram The missin f the Hancck Cunty Cnventin & Visitrs Bureau is t prmte Findlay and Hancck Cunty, and the features f ur cmmunity that make ur hmetwn a destinatin fr travelers. T

More information

Cascades Wedding Show January 14 th 2017 Vendor Application

Cascades Wedding Show January 14 th 2017 Vendor Application Cascades Wedding Shw January 14 th 2017 Vendr Applicatin Return t: LAY IT OUT EVENTS 704 NW Gergia Ave Bend, OR 97703 Att: Vendr Crdinatr Make Checks payable t: Lay It Out Events Business Name Applicant

More information

IHCS CLAIMS REFERENCE GUIDE

IHCS CLAIMS REFERENCE GUIDE CLAIMS REFERENCE GUIDE WHERE DO I SUBMIT CLAIMS? Yu will submit the claims fr members directly t at the claims address belw. Electrnic Claims: Direct t Payer ID: 1 Paper Claims: Claims: Address1: City,

More information

Policy on Requesting Reasonable Accommodations from the Zoning Code

Policy on Requesting Reasonable Accommodations from the Zoning Code Plicy n Requesting Reasnable Accmmdatins frm the Zning Cde Backgrund The Americans with Disabilities Act (ADA), as amended, is a federal anti-discriminatin statute designed t remve barriers that prevent

More information

Checking and Savings Account Application

Checking and Savings Account Application Checking and Savings Accunt Applicatin Please use the Checking and Savings Accunt Applicatin t: Open a FREE Checking r Dividend Checking and Opt-in r Out f DCU s Overdraft Payment Service including an

More information

Food Vendor Application

Food Vendor Application Fd Vendr Applicatin June 24 th and 25 th / 1pm-6pm bth days / Keystne, Clrad THE 7th ANNUAL BACON AND BOURBON FESTIVAL AT KEYSTONE IS TRULY A CELEBRATION OF ALL THINGS BACON! THIS FESTIVAL IS AN OPPORTUNITY

More information

HOME IMPROVEMENT CONTRACT

HOME IMPROVEMENT CONTRACT HOME IMPROVEMENT CONTRACT YOU ARE ENTITLED TO A COMPLETELY FILLED-IN COPY OF THIS CONTRACT, SIGNED BY BOTH YOU AND THE CONTRACTOR BEFORE ANY WORK MAY BE STARTED. CONTRACTOR S NAME: ADDRESS: PHONE: FAX:

More information

PROCESS FOR NATIONAL CAPITOL AREA GARDEN DISTRICTS, CLUBS AND COUNCILS CHOOSING TO FILE FOR 501(C)3 GROUP EXEMPTION

PROCESS FOR NATIONAL CAPITOL AREA GARDEN DISTRICTS, CLUBS AND COUNCILS CHOOSING TO FILE FOR 501(C)3 GROUP EXEMPTION PROCESS FOR NATIONAL CAPITOL AREA GARDEN DISTRICTS, CLUBS AND COUNCILS CHOOSING TO FILE FOR 501(C)3 GROUP EXEMPTION What is a grup exemptin letter? The IRS smetimes recgnizes a grup f rganizatins as tax-exempt

More information

1. REIMBURSEMENTS FOR EXPENSES: 2. REQUESTING CHECKS:

1. REIMBURSEMENTS FOR EXPENSES: 2. REQUESTING CHECKS: Mnetary Plicies and Prcedures PTO funds are intended t benefit the students thrugh the enhancement f schl prgrams and activities. The PTO Officers are the guardians f these funds and have an bligatin t

More information

2018 EXHIBITOR / VENDOR INFORMATION AND APPLICATION

2018 EXHIBITOR / VENDOR INFORMATION AND APPLICATION 2018 EXHIBITOR / VENDOR INFORMATION AND APPLICATION The 31 st annual air shw will be held September 28-30, 2018 at the Hillsbr Airprt, KHIO. Air Shw Hurs are Friday September 28, 5:30pm t 9:30pm and Saturday

More information

Summit County Merchant Season Pass Program

Summit County Merchant Season Pass Program Summit Cunty Merchant Seasn Pass Prgram 2015-16 Rev. 9/25/15 The Summit Cunty Merchant Seasn Pass will be available at the Gndla, Quicksilver and Peak 8 Ticket/ Seasn Pass ffices in Breckenridge and the

More information

REFERENCE NUMBER: PFS.PDS.115. TITLE: Patient Billing and Collections CURRENT EFFECTIVE DATE: 01/01/2018. PAGE 1 of 8 SCOPE:

REFERENCE NUMBER: PFS.PDS.115. TITLE: Patient Billing and Collections CURRENT EFFECTIVE DATE: 01/01/2018. PAGE 1 of 8 SCOPE: PAGE 1 f 8 SCOPE: This Patient Billing and Cllectins Plicy applies t all Presbyterian Healthcare Services (Presbyterian) hspital facilities, including inpatient, utpatient, hme health care services and

More information

Application Checklist: Supporting documents you need to provide with your application: o Application fee

Application Checklist: Supporting documents you need to provide with your application: o Application fee Applicatin fr Special Licence Sectin 138, Sale and Supply f Alchl Act 2012 General infrmatin: Office Use Only An applicatin fr a special licence MUST be ldged at least 20 wrking days befre the event(s)

More information

ILLINOIS INSTITUTE OF TECHNOLOGY J-1 SCHOLAR REQUEST FORM (TO BE COMPLETED BY THE DEPARTMENT)

ILLINOIS INSTITUTE OF TECHNOLOGY J-1 SCHOLAR REQUEST FORM (TO BE COMPLETED BY THE DEPARTMENT) J-1 SCHOLAR REQUEST FORM (TO BE COMPLETED BY THE DEPARTMENT) Please cmplete this frm and return it, alng with the individual s sectin, t the Internatinal Center as sn as pssible s that we may issue the

More information

Research Data Request Form

Research Data Request Form 1 NC Department f Public Instructin Research Data Request Frm The fllwing frm may be used t request student data frm the Nrth Carlina Department f Public Instructin (NCDPI). Please understand that the

More information

Minnesota VOTER REGISTRATION

Minnesota VOTER REGISTRATION Minnesta VOTER REGISTRATION These resurces are current as f 12/1/18. We d ur best t peridically update these resurces and welcme any cmments r questins regarding new develpments in the law. Please email

More information

The Lockwood Foundation Grant Application Instructions

The Lockwood Foundation Grant Application Instructions The Lckwd Fundatin Grant Applicatin Instructins 2017-2018 Applicatin Opens January 22, 2018 Applicatins due March 5, 2018 The Bellevue Cllege Fundatin and The Lckwd Fundatin are pleased t annunce the 2017-2018

More information

Organization Name: Event Organizer s Name: Date: *Responsible for communicating all aspects of the event and working with MCPC personnel.

Organization Name: Event Organizer s Name: Date: *Responsible for communicating all aspects of the event and working with MCPC personnel. Mrris Cunty Park Cmmissin: Event Applicatin Return t: Mrris Cunty Park Cmmissin Attn: Parks and Visitr Services Dept. P.O. Bx 1295, Mrristwn, NJ 07962 1295 events@mrrisparks.net Organizatin Name: Is this

More information

City of Valdez Budget Year 2018 Intent to Host an Event and Request for City Support

City of Valdez Budget Year 2018 Intent to Host an Event and Request for City Support City f Valdez Budget Year 2018 Intent t Hst an Event and Request fr City Supprt Applicatin Instructins: This applicatin is available n line at: www.ci.valdez.ak.us Please review this entire packet f infrmatin

More information

Alcohol Policy. The service of alcohol on campus focuses on beer, wine, and champagne.

Alcohol Policy. The service of alcohol on campus focuses on beer, wine, and champagne. Alchl Plicy The University requires that event spnsrs and student grups wishing t ffer alchlic beverages at their prgrams and events perate within state and lcal laws as prvided by the Department f Alchl

More information

PAYMENT PLAN REQUEST INFORMATION Texas Property Code - Section (Not Applicable for Condominium Associations Governed Under Section 82)

PAYMENT PLAN REQUEST INFORMATION Texas Property Code - Section (Not Applicable for Condominium Associations Governed Under Section 82) PAYMENT PLAN REQUEST INFORMATION Texas Prperty Cde - Sectin 209.0062 (Nt Applicable fr Cndminium Assciatins Gverned Under Sectin 82) This dcument includes infrmatin regarding a payment plan request in

More information

Partner Agency Application Toque Campaign 2017/18

Partner Agency Application Toque Campaign 2017/18 Partner Agency Applicatin Tque Campaign 2017/18 Allcatin f Tque Campaign Funds Partner Agencies receive 50% f the sale price f each item they sell (example: $7.50 frm every $15.00 tque). Apprximately 40%

More information

IRDA Update: Draft Guidelines on Web Aggregators

IRDA Update: Draft Guidelines on Web Aggregators IRDA Update: Draft Guidelines n Web Aggregatrs 17 March 2011 By way f an update, the IRDA has issued draft guidelines n web aggregatrs n 16 th March 2011. Cmments have been invited by 31 st March 2011.

More information

J-1 DS-2019 Request Form for Exchange Visitor Applicant

J-1 DS-2019 Request Form for Exchange Visitor Applicant J-1 DS-2019 Request Frm fr Exchange Visitr Applicant 1. Persnal Infrmatin (as it appears in yur passprt) Email Address Gender: Male Female Last psitin/ccupatin yu held in yur cuntry f legal permanent residence

More information

Western Management 1654 The Alameda Suite 100 San Jose, California

Western Management 1654 The Alameda Suite 100 San Jose, California Fax COMMUNITY NAME PROPERTY MANAGER FROM FAX PAGES PHONE DATE REGARDING Rental Applicatin CC Urgent Fr Review Please Cmment Please Reply Please Recycle Cmments: Western Management 1654 The Alameda Suite

More information

CLOVER PARK TECHNICAL COLLEGE INTERNATIONAL ADMISSION APPLICATION PACKET

CLOVER PARK TECHNICAL COLLEGE INTERNATIONAL ADMISSION APPLICATION PACKET CLOVER PARK TECHNICAL COLLEGE INTERNATIONAL ADMISSION APPLICATION PACKET 2017-2018 T apply fr admissin, please cmplete the frms belw and submit with the dcuments indicated: FORMS Internatinal Educatin

More information

Memorandum. Employees, Retirees and Survivors. Sarah Kloos, Director of Personnel. Date: September 22, Transition to GIC Health Benefits

Memorandum. Employees, Retirees and Survivors. Sarah Kloos, Director of Personnel. Date: September 22, Transition to GIC Health Benefits Memrandum T: Frm: Emplyees, Retirees and Survivrs Sarah Kls, Directr f Persnnel Date: September 22, 2011 Subject: Transitin t GIC Health Benefits Pursuant t Chapter 67 f the Acts f 2007, and after cnsultatin

More information

Alpena County Youth & Recreation Millage. Grant Application for 2018 Funding

Alpena County Youth & Recreation Millage. Grant Application for 2018 Funding Alpena Cunty Yuth & Recreatin Millage Grant Applicatin fr 2018 Funding Alpena Cunty welcmes relevant 501(c) 3 rganizatins t apply fr funds which are awarded n a calendaryear basis. This grant applicatin

More information

SPECIAL ASSETS MANAGEMENT ASSOCIATION 2321 Rosecrans Ave, Suite 3270, El Segundo, CA CONFERENCE

SPECIAL ASSETS MANAGEMENT ASSOCIATION 2321 Rosecrans Ave, Suite 3270, El Segundo, CA CONFERENCE SPECIAL ASSETS MANAGEMENT ASSOCIATION 2321 Rsecrans Ave, Suite 3270, El Segund, CA 2017 8 TH ANNUAL SAMA CONFERENCE June 14th-16th, 2017 Bacara Resrt & Spa 8301 Hllister Avenue Santa Barbara, CA 93117

More information

2019 BASKETBALL Assessments & State Tournament (If the event is cancelled, it will not be rescheduled)

2019 BASKETBALL Assessments & State Tournament (If the event is cancelled, it will not be rescheduled) 2019 BASKETBALL Assessments & State Turnament (If the event is cancelled, it will nt be rescheduled) New Hampshire Unified Basketball Assessment Saturday, March 9 th, 2019 Keene State Cllege 229 Main Street

More information

CONTRACT. Fax: City State Zip Code Country

CONTRACT. Fax: City State Zip Code Country July24-26,2019 AmadrCnventinCenter Panama,Rep.f Panama CONTRACT COMPANY INFORMATION: (Please fill ut the fllwing infrmatin exactly as yu wuld like it t appear in the exp s Official Shw Guide) Cmpany Name:

More information

Direct Entry Pre-Approval Requirements for Level II Technician Candidates

Direct Entry Pre-Approval Requirements for Level II Technician Candidates Direct Entry Pre-Apprval Requirements fr Level II Technician Candidates The Direct Entry prgram is intended t allw rpe access technicians wh have btained rpe access skills and experience n an industrial

More information

What Weight Watchers needs from the company: We need a Contact at your company to serve as a liaison with Weight Watchers. o

What Weight Watchers needs from the company: We need a Contact at your company to serve as a liaison with Weight Watchers. o Thank yu fr yur interest in Weight Watchers and ur At Wrk Prgram! Weight Watchers is pleased t bring this cnvenient n-site meeting pprtunity t yur cmpany. The At Wrk Prgram is the same prgram that is delivered

More information

Details of Rate, Fee and Other Cost Information

Details of Rate, Fee and Other Cost Information Details f Rate, Fee and Other Cst Infrmatin Accunt terms are nt guaranteed fr any perid f time. All terms, including fees and APRs fr new transactins, may change in accrdance with the Credit Card Agreement

More information

The Veolia Environmental Trust Online Application Form

The Veolia Environmental Trust Online Application Form The Velia Envirnmental Trust Online Applicatin Frm Stage 2 questins Please nte: this is nt the Stage 2 applicatin frm 1. Cntact and Organisatin Details a. Main Cntact 1.1 Title 1.2 First Name 1.3 Surname

More information

AMENDMENTS TO NASDAQ RULES ON COMPENSATION COMMITTEES

AMENDMENTS TO NASDAQ RULES ON COMPENSATION COMMITTEES March 2013 AMENDMENTS TO NASDAQ RULES ON COMPENSATION COMMITTEES Summary. The Securities and Exchange Cmmissin recently apprved the fllwing amendments t the NASDAQ listing rules relating t cmpensatin cmmittees:

More information

City of Greer Moonlight Movies June 7 July 26, 2018 Greer City Park Food Vendor Application

City of Greer Moonlight Movies June 7 July 26, 2018 Greer City Park Food Vendor Application Menu Items Entry Fee Fd Vendr Inf City f Greer Mnlight Mvies June 7 July 26, 2018 Greer City Park Fd Vendr Applicatin Business Name: Physical Address: City: State: Zip: Mailing Address: City: State: Zip:

More information

Northwest Battle Buddies

Northwest Battle Buddies Serving ur Veterans, wh served us all! www.nrthwestbattlebuddies.rg Clubs & Organizatins Third Party Event Apprval We are hnred that yu have selected fr yur next third-party fundraising event. The cntributins

More information

Sewer Blockage Procedure

Sewer Blockage Procedure Sewer Blckage Prcedure I N F O R M A T I O N F O R P L U M B E R S J U N E 2 0 1 7 When a blckage is identified in the sewer Huse Cnnectin Branch (HCB) we will review the issue and in sme circumstances:

More information

CONTRACT. (Please fill out the following information exactly as you would like it to appear in the expo s Official Show Guide) Fax:

CONTRACT. (Please fill out the following information exactly as you would like it to appear in the expo s Official Show Guide) Fax: July 24-26, 2019 Amadr Cnventin Center Panama, Rep. f Panama CONTRACT COMPANY INFORMATION: (Please fill ut the fllwing infrmatin exactly as yu wuld like it t appear in the exp s Official Shw Guide) Cmpany

More information

MICRO GROUP EMPLOYER DOCUMENTATION REQUIREMENTS

MICRO GROUP EMPLOYER DOCUMENTATION REQUIREMENTS Seattle, Washingtn 98101 MICRO GROUP EMPLOYER DOCUMENTATION REQUIREMENTS D nt cancel any existing plicies until yu receive cnfirmatin f final rates and/r acceptance f the grup by Regence BlueShield (Regence).

More information

HOC Works Program Requirements

HOC Works Program Requirements HOC Wrks Prgram Requirements Last Revisin: March 2018 INTRODUCTION The Husing Opprtunities Cmmissin f Mntgmery Cunty (HOC) established the HOC Wrks prgram in 2015 in rder t guarantee that HOC emplyment

More information

Full Facility Refers to exclusive use of the Entry Gallery, Library Gallery, and Upstairs Gallery. Studio is not included.

Full Facility Refers to exclusive use of the Entry Gallery, Library Gallery, and Upstairs Gallery. Studio is not included. The Charles H. Taylr Arts Center Rental Infrmatin This infrmatin package is intended t assist prspective tenants in understanding the established prcedures and csts relative t bking The Charles H. Taylr

More information

Grant Application Guidelines

Grant Application Guidelines Grant Applicatin Guidelines The prgram staff f the Cmmunity Fundatin f Greater New Britain lks frward t wrking with yu. This frm is fr rganizatins that have submitted a Letter f Intent t us and were invited

More information

De minimis aid declaration

De minimis aid declaration De minimis aid declaratin Declaratin within the scpe f the prvisin f aid as referred t in the de minimis aid Regulatin (OJ 2006, L379). It is recmmended that yu read the explanatry ntes in the annex t

More information

Salt Lake City Area Office 8722 S. Harrison St. Sandy, UT P.O. Box 4439 Sandy, UT Fax

Salt Lake City Area Office 8722 S. Harrison St. Sandy, UT P.O. Box 4439 Sandy, UT Fax Salt Lake City Area Office 8722 S. Harrisn St. Sandy, UT 84070 P.O. Bx 4439 Sandy, UT 84091 800-257-5590 Fax 800-478-9880 Chicag Office 303 W. Madisn Street Suite 2075 Chicag, IL 60606 800-456-4576 Fax

More information

APPLICATION FOR ADMISSION 2019

APPLICATION FOR ADMISSION 2019 APPLICATION FOR ADMISSION 2019 APPLICANT INFORMATION Last Name: First Name: Date f Birth: (mnth/day/year) Gender: Male Female Citizenship: Hme Cuntry Address: City: State/Prvince: Pstal Cde: Cuntry: E-mail:

More information

CRG PATIENT REGISTRATION FORM

CRG PATIENT REGISTRATION FORM CRG PATIENT REGISTRATION FORM PATIENT INFORMATION Patient s Name: Birth : (Last) (First) (Middle) Scial Security Number: Male: Female: Hme Address: (Street / RR Bx # / Apt. #) (City/State) (Zip) Preferred

More information

PASSPORT INFORMATION:

PASSPORT INFORMATION: Dear Vlunteers, Thank yu fr yur interest in the Kids Arund the Wrld playgrund build trip. We are excited fr the pprtunity t wrk alngside yu t impact the lives f these children. The need there is tremendus

More information

Ramsey Million Partnership

Ramsey Million Partnership Ramsey Millin Partnership General Pints GUIDANCE FOR APPLICATIONS FOR FUNDING GENERAL GRANTS POT 2019 (i) Opening Statement Yur grant applicatin must meet the criteria as established by the Big Lcal and

More information

Assistance Program: Prince George s County, Maryland Pathway to Purchase First Time Homebuyers Assistance Code: DMDPRINCE

Assistance Program: Prince George s County, Maryland Pathway to Purchase First Time Homebuyers Assistance Code: DMDPRINCE Assistance Prgram: Prince Gerge s Cunty, Maryland Pathway t Purchase First Time Hmebuyers Assistance Cde: DMDPRINCE HOMEOWNERSHIP ASSISTANCE PROGRAM SUMMARY Prduct Descriptin Allwable Originatin Channel

More information

Appeal Process Overview

Appeal Process Overview Appeal Prcess Overview www.ptbard.bc.ca Scpe f Appeals The Bard may hear appeals frm administrative penalties impsed n a licensee by the Registrar f Passenger Transprtatin Parties t Appeals The appellant

More information

TOWN OF LILLINGTON ZONING PERMIT (TEMPORARY USE/SPECIAL EVENTS) APPLICATION

TOWN OF LILLINGTON ZONING PERMIT (TEMPORARY USE/SPECIAL EVENTS) APPLICATION TOWN OF LILLINGTON ZONING PERMIT (TEMPORARY USE/SPECIAL EVENTS) APPLICATION Planning & Inspectins Department 106 West Frnt Street, PO Bx 296 Lillingtn NC 27546 phne 910-893-0311 fax 910-893-3693 lillingtnnc.rg

More information

ATTENTION. This Sales and Use Tax Exemption Certificate Application is for: 1. FIRST TIME sales and use exemption certificate filers or;

ATTENTION. This Sales and Use Tax Exemption Certificate Application is for: 1. FIRST TIME sales and use exemption certificate filers or; ATTENTION This Sales and Use Tax Exemptin Certificate Applicatin is fr: 1. FIRST TIME sales and use exemptin certificate filers r; 2. Organizatins hlding a card with expiratin date f 2012 r earlier. 3.

More information

8722 S. HARRISON ST. SANDY, UT P.O. BOX 4439 SANDY, UT FAX

8722 S. HARRISON ST. SANDY, UT P.O. BOX 4439 SANDY, UT FAX 8722 S. HARRISON ST. SANDY, UT 84070 P.O. BOX 4439 SANDY, UT 84091 877-678-7342 FAX 800-478-9880 HOT AIR BALLOON PROPOSED EFFECTIVE DATE: A. General Infrmatin Applicant s Name: Applicant s Mailing Address:

More information

APPLICATION OF EMPLOYMENT FOR PRINCIPAL ASSISTANT PRINCIPAL TEACHER

APPLICATION OF EMPLOYMENT FOR PRINCIPAL ASSISTANT PRINCIPAL TEACHER APPLICATION OF EMPLOYMENT FOR PRINCIPAL ASSISTANT PRINCIPAL TEACHER Applicatins are accepted nly fr pen psitins ****Please cmplete, print, sign and mail r e-mail t the schl where yu are applying. 1 Thank

More information

Western Management PO Box San Jose, California

Western Management PO Box San Jose, California Fax COMMUNITY NAME PROPERTY MANAGER FROM FAX PAGES PHONE DATE REGARDING Rental Applicatin CC Urgent Fr Review Please Cmment Please Reply Please Recycle Cmments: Western Management PO Bx 26824 San Jse,

More information

Region 5 Student Paper Reimbursement Procedure

Region 5 Student Paper Reimbursement Procedure Regin 5 Student Paper Reimbursement Prcedure Prcedure fr student cmpetitin awards winners fr receptin f their prize mney frm Regin 5. This includes the prcedure fr Area student papers awards mnies receptin.

More information

Joining SportsWareOnLine

Joining SportsWareOnLine Dear new MBU Student-Athletes, Prir t participating n an athletic team fr Missuri Baptist University (MBU), student-athletes must prvide the Athletic Training Department with lcal and permanent addresses,

More information

Frequently Asked Questions: Broader Public Sector Procurement Directive

Frequently Asked Questions: Broader Public Sector Procurement Directive Frequently Asked Questins: Brader Public Sectr Prcurement Directive 1. What is the Brader Public Sectr (BPS) Prcurement Directive? The Brader Public Sectr Accuntability Act, 2010 prvides the authrity fr

More information

Tacoma Power Water Access Grant 2019 Due date: March 22, 2019

Tacoma Power Water Access Grant 2019 Due date: March 22, 2019 Tacma Pwer Water Access Grant 2019 Due date: March 22, 2019 APPLICATION FORM PACKET Includes: 1. Checklist 2. Instructins fr applicatin 3. Applicatin frms 1 APPLICATION FORMS CHECKLIST All applicants are

More information

TEMPORARY HOLIDAY SALES

TEMPORARY HOLIDAY SALES TEMPORARY HOLIDAY SALES APPLICATION PACKAGE APPLICATION INFORMATION: Temprary hliday sales may nly be sld at nnresidential zning districts r frm areas immediately adjacent and utilized in cnjunctin with

More information

2018 Healthy Boiler Wellness Incentive Program FAQs

2018 Healthy Boiler Wellness Incentive Program FAQs 2018 Healthy Biler Wellness Incentive Prgram FAQs As healthcare csts cntinue t rise acrss the cuntry, the university s best way t cmbat this is by helping t imprve the verall wellness f ur ppulatin. Therefre,

More information

IRS 2016 FEDERAL TAX TRANSCRIPT INFORMATION

IRS 2016 FEDERAL TAX TRANSCRIPT INFORMATION Financial Aid Office P.O. Bx 6905 Radfrd, VA 24142 Phne: (540) 831-5408 Fax: (540) 831-5138 finaid@radfrd.edu RU Financial Aid Website: http://www.radfrd.edu/finaid IRS 2016 FEDERAL TAX TRANSCRIPT INFORMATION

More information

address: Driver license number: Date of birth: Occupation:

address: Driver license number: Date of birth: Occupation: MEMBERSHIP APPLICATION PRIMARY MEMBER INFORMATION Name: Scial security Member Number: Hme phne: Cell phne: Business phne: Mther s Maiden Name: Security passwrd: Mailing address: City: State: ZIP Cde: Street

More information

Instruction Page. Verification of 2014 Income Information for Individuals with Unusual Circumstances

Instruction Page. Verification of 2014 Income Information for Individuals with Unusual Circumstances Instructin Page Imprtant Nte: Please ntify the financial aid ffice if the student r their parents had a change in marital status after the end f the 2014 tax year n December 31, 2014 and als if the parents

More information

Renewal of Manager s Certificate

Renewal of Manager s Certificate Applicatin fr Renewal f Manager s Certificate Sectin 219, Sale and Supply f Alchl Act 2012 General infrmatin: Yu must renew yur manager s certificate befre it expires. Once yur manager s certificate has

More information

Steps toward Retirement

Steps toward Retirement Steps tward Retirement Eligibility, Actin Steps, and Benefit Optins fr Faculty and Staff Nearing Retirement Eligibility fr Official University Retiree Status The fllwing jb types f the University are eligible

More information

Best Execution & Client Order Execution Policy. October P age 1 6. BE31/10/17 v1

Best Execution & Client Order Execution Policy. October P age 1 6. BE31/10/17 v1 Best Executin & Client Order Executin Plicy Octber 2017 BE31/10/17 v1 P age 1 6 Cntents 1. Backgrund... 3 2. Order placement... 3 3. Order executin factrs... 3 4. Order executin plicy... 3 5. Order executin

More information

APPLICATION FOR PROJECT FUNDING REQUEST 2018 Charlevoix County Parks Millage 301 State St., Charlevoix, MI

APPLICATION FOR PROJECT FUNDING REQUEST 2018 Charlevoix County Parks Millage 301 State St., Charlevoix, MI APPLICATION FOR PROJECT FUNDING REQUEST 2018 Charlevix Cunty Parks Millage 301 State St., Charlevix, MI 49720 administratin@charlevixcunty.rg PROJECT APPLICANT INFORMATION Name f Municipal Applicant(s):

More information

EOFY tax strategies for small businesses

EOFY tax strategies for small businesses As we apprach the end f the financial year (EOFY), there are a number f smart strategies yu culd cnsider t help yu streamline yur finances and legitimately save n yur tax bill. Insurance premiums Sme insurance

More information

HASSRA Finance Bulletin Issue 2 October Key messages

HASSRA Finance Bulletin Issue 2 October Key messages President: Rbert Devereux, Permanent Secretary Department fr Wrk & Pensins First Vice President: Una O Brien, Permanent Secretary Department f Health HASSRA Finance Bulletin Issue 2 Octber 2014 Key messages

More information

Verification Worksheet

Verification Worksheet 2015-2016 Verificatin Wrksheet Independent Student Tracking Grup V1 STAFF USE ONLY Frm Received by Date Yur 2015 2016 Free Applicatin fr Federal Student Aid (FAFSA) was selected fr review in a prcess called

More information

Alberta Indigenous Community Energy Program Guidelines

Alberta Indigenous Community Energy Program Guidelines Alberta Indigenus Cmmunity Energy Prgram Guidelines The Alberta Indigenus Cmmunity Energy Prgram (AICEP) is a prgram that prvides tls and funding t help Indigenus cmmunities and Indigenus rganizatins understand

More information

TERMS AND CONDITIONS FOR APPOINTMENT OF INDEPENDENT DIRECTOR

TERMS AND CONDITIONS FOR APPOINTMENT OF INDEPENDENT DIRECTOR TERMS AND CONDITIONS FOR APPOINTMENT OF INDEPENDENT DIRECTOR 1 PRIVATE & CONFIDENTIAL Date: T, Independent Directrs, Subject: Appintment as an Independent Directr InfBeans Technlgies Limited Dear Sir/Madam,

More information

Small Business Sustainability Program Payment Application Instructions/Process

Small Business Sustainability Program Payment Application Instructions/Process Small Business Sustainability Prgram Payment Applicatin Instructins/Prcess Eligibility Requirements 1. Business must be lcated in the active cnstructin znes n Alum Rck Avenue between Highway 101 and Interstate

More information

Hawaii Division of Financial Institutions 2019 Renewal Checklist

Hawaii Division of Financial Institutions 2019 Renewal Checklist Hawaii Divisin f Financial Institutins 2019 Renewal Checklist Instructins Renewal requests must be submitted thrugh by the date specified by yur state regulatr(s). Click here t review all renewal deadlines,

More information

OSHA INSPECTION CHECKLIST

OSHA INSPECTION CHECKLIST OSHA INSPECTION CHECKLIST HANDLING AN OSHA INSPECTION The Occupatinal Safety and Health Act (OSH Act) authrizes the Occupatinal Safety and Health Administratin (OSHA) t cnduct wrkplace inspectins and investigatins

More information

ABORIGINAL ECONOMIC PARTNERSHIPS Program Grant Application Guidelines

ABORIGINAL ECONOMIC PARTNERSHIPS Program Grant Application Guidelines ABORIGINAL ECONOMIC PARTNERSHIPS Prgram Grant Applicatin Guidelines Abriginal Ecnmic Partnerships Prgram (AEPP) grant funding supprts Indigenus cmmunities, cmmunity-wned businesses and nt-fr-prfit nn-gvernmental

More information

You can get help from government organizations that are not connected with us

You can get help from government organizations that are not connected with us 2011 Evidence f Cverage fr Medi-Pak Advantage MA (PFFS) Chapter 9: What t d if yu have a prblem r cmplaint (cverage decisins, appeals, cmplaints) BACKGROUND SECTION 1 Intrductin Sectin 1.1 What t d if

More information

Verification Worksheet- V1 DIRECTIONS 2016 INCOME TAX FILER DIRECTIONS:

Verification Worksheet- V1 DIRECTIONS 2016 INCOME TAX FILER DIRECTIONS: 2018-2019 Verificatin Wrksheet- V1 DIRECTIONS 2016 INCOME Yur applicatin was selected by the U.S. Dept. f Educatin fr review in a prcess called "verificatin". Yu must submit the last 3 pages f this verificatin

More information

Flexible Working Policy

Flexible Working Policy Our HR Plicies Flexible Wrking Plicy Aim f the plicy The Kelda Grup is cmmitted t prmting flexibility in the wrkplace and believes that this flexibility can increase mtivatin, prmte wrk-life balance, wellbeing

More information

2018 DVAMC CRIP REIMBURSEMENT POLICY

2018 DVAMC CRIP REIMBURSEMENT POLICY aacpm American Assciatin f Clleges f Pdiatric Medicine 15850 Crabbs Branch Way, Suite 320 Rckville, Maryland 20855-2622 301-948-9764 Fax: 301-948-1928 www.aacpm.rg 2018 DVAMC CRIP REIMBURSEMENT POLICY

More information

SRP Business Solutions: Electric Technology Rebates Forklift Rebate Application (Customer)

SRP Business Solutions: Electric Technology Rebates Forklift Rebate Application (Customer) SRP Business Slutins: Electric Technlgy Rebates Frklift Rebate Applicatin (Custmer) Instructins: Fill ut this rebate applicatin cmpletely and sign. Attach required dcumentatin: all invices shwing dates

More information

BCECM Community Project Grant - Program Guidelines and Application Form

BCECM Community Project Grant - Program Guidelines and Application Form BCECM Cmmunity Prject Grant - Prgram Guidelines and Applicatin Frm Bruneau Centre fr Excellence in Chral Music Applicatin Deadline: Mnday, Octber 16, at 5:00 p.m. (NST) Cmmunity Prject Grant Prgram Guidelines

More information

Damonte Ranch High School Rio Wrangler Parkway, Reno, NV th Annual Band Boosters Craft Fair Saturday, December 1, am 4 pm

Damonte Ranch High School Rio Wrangler Parkway, Reno, NV th Annual Band Boosters Craft Fair Saturday, December 1, am 4 pm Name: Damnte Ranch High Schl 10500 Ri Wrangler Parkway, Ren, NV 89521 10th Annual Band Bsters Craft Fair 10 am 4 pm BOOTH APPLICATION Business Name: Address: City: State: Zip Cde: Hme phne: Cell phne:

More information

City of South Gate Block Party Permit Application. CITY OF SOUTH GATE 8650 California Avenue South Gate, CA (323)

City of South Gate Block Party Permit Application. CITY OF SOUTH GATE 8650 California Avenue South Gate, CA (323) CITY OF SOUTH GATE 8650 Califrnia Avenue Suth Gate, CA 90280-3075 (323) 357-9657 Blck party permit applicatin per Reslutin 7529 Applicatins due t Public Wrks Department at least 30 days prir t blck party

More information

Caregiver/Respite Application (Please print)

Caregiver/Respite Application (Please print) 52 Armstrng Rad Plymuth, MA 02360 WWW.THEARCOFGP.ORG Email:Inf@Thearcfgp.rg PHONE: 508.732.9292 FAX: 508.732.9229 Caregiver/Respite Applicatin (Please print) Name Last First Middle Address Street City

More information

Please work with your department administrative assistant to submit the necessary paperwork, as they should be very familiar with this process

Please work with your department administrative assistant to submit the necessary paperwork, as they should be very familiar with this process Dear Faculty Member, Thank yu fr cntacting the Office f Internatinal and Cultural Affairs (OICA) cncerning yur intent t invite a visiting schlar t ur campus. Please wrk with yur department administrative

More information

NOTICE OF DATA BREACH

NOTICE OF DATA BREACH April 18, 2017 «First_Name» «Last_Name» «Hme_Address_1» «Hme_Address_2» «Hme_City», «Hme_State» «Hme_Zip» «Hme_Cuntry» Dear «First_Name» «Last_Name»: NOTICE OF DATA BREACH We are writing t fllw up n an

More information

Student Government Association Funding Guidelines

Student Government Association Funding Guidelines Student Gvernment Assciatin Funding Guidelines What is the surce f SGA funding? Each year, a prtin f the Student Activity Fee is alltted t the Student Gvernment Assciatin (SGA). This fee is separate frm

More information