Vendor Registration Form – Elko County Art Club

Vendor Information

Name *

Company

Website / URL

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Contact Preference

Voice
Text
Email
Postal Mail

Vendor Categories *

Other Category

Type of Goods/Services Provided:

Emergency Contact *

Will you be bringing a service animal? *

Yes
No

Please note, only certified service animals are allowed at Art in the Park!

Service Animal Certification File Upload

Click or drag a file to this area to upload.

Upload a copy here or send a copy/photo of by email to ElkoAIP@ElkoCountyArts.org OR text (775) 544-5198 by the Friday before the event.

Do you have a Handicap Parking Placard and need close parking? *

Yes
No

Handicap Parking Placard File Upload

Click or drag a file to this area to upload.

Upload a copy here or send a copy/photo of by email to ElkoAIP@ElkoCountyArts.org OR text (775) 544-5198 by the Friday before the event.

Permits and Tax Information

*All vendors, please mark each permit / ID you have and fill-in the number. **A temporary business license will be provided if you do not have one. ***If you do not have a Tax Identification number, leave the space below blank. DO NOT enter your Social Security number below, only enter it on the NV State form only.

City of Elko Business Permit *

Yes
No

A temporary business license will be provided if you do not have one.

City of Elko Business Permit #

Nevada Department of Taxation TID *

Yes
No

Nevada Department of Taxation TID #

If you do not have a Tax Identification number, leave the space below blank. DO NOT enter your Social Security number below, only enter it on the NV State form only.

Food Vendors

IF YOU HAVE A FOOD TRUCK/TENT OR ARE A VENDOR SERVING SAMPLES, YOU ARE REQUIRED TO HAVE ONE OF THE FOLLOWING:

Cottage Food Program License *

Yes
No

Cottage Food Program License #

Grower's Permit *

Yes
No

Grower's Permit #

State of Nevada Food Permit *

Yes
No

State of Nevada Food Permit #

State of Nevada Temporary Food Permit *

Yes
No, I have one of the above.
No, I will be getting one before the Friday before the event.

Send a copy/photo of by email to ElkoAIP@ElkoCountyArts.org OR text (775) 544-5198 by the Friday before the event.

Liability Insurance

Do you have liability insurance? *

Yes
No

Food and Activity Vendors please add as an additional insured: Elko County Art Club, Art in the Park (event location: 1467 Idaho Street, Elko, NV 89803); a copy with the added insurer emailed to ElkoAIP@ElkoCountyArts.org. If you don't have liability insurance contact us directly.

Booth Space

Booth Options *

All booths are 10' deep.

Reserved parking ($50.00) is sold out, would you like to be added to a waiting list?

Yes
No

Shared Booth Space

Are you sharing the booth with another business/person? *

Yes
No

Name/Company

Please check one of the options below:

I will be responsible for collecting and paying all sales taxes for both businesses under my business at the end of the show.
The other business I am sharing with will be responsible for collecting and paying all sales taxes for both businesses under their business at the end of the show.
Each business/person will be responsible for collecting and paying all their own sales tax at the end of the show. Both businesses understand that this requires an additional fee of $40.00 to register a second business with the City of Elko. Please fill a form out for both businesses.

Billing & Payment

*You will be invoiced after your application has been approved and your reservation confirmed.

Event Vendor Agreement

***Please check and enter your name below to indicate your agreement. *

I have read through, and agree to the terms outlined in the Elko Art in the Park "Requirements, Rules & More Information" located on the website at https://www.ElkoCountyArts.org/events/elko-art-in-the-park/.

Signature *

Vendor Full Name

Art in the Park Registration