PRE-RACE EXPO APPLICATION

NOTE: After submitting this form, please return to Vendors Page to PAY ONLINE.

    Company/Organization Name (required)

    Contact Name (required)

    Your Email (required)

    Your Phone

    Your Street Address

    Your City, State, Zip

    Indicate if Selling or Display Only:
    Selling MerchandiseDisplay Only

    If attending on Friday: Electrical outlet required?
    YesNo

    If attending on Saturday (Race Day in Huntsville Park), please indicate your electrical power needs:

    Number of machines with a plug:

    Exact number of amps (KW or Kilowatts) listed on each machine:

    Voltage (120 or 240):

    TAX INFORMATION (Required by Utah Tax Commission)

    Vendor's TAX ID Number or Tax Exempt Number: OR

    Vendor's SSN #:

    AND Drivers License #:

    AND Birth Date of Booth Owner:

    SELECT BOOTH DAYS/SIZE/PAYMENT (required):

    Please enter the following code: captcha
    into the box below so that we know you are human: