Food Truck Registration

First name*

Last name*

Email*

Phone*

Company name*

Do you require electric hookup?*

If so, please provide electric details requested:

Logo upload*

Please provide logo and up to 4 additional images for promotional purposes.

Link to Facebook/Website

Registration Fee

$25

201 E Main Street, Ste 202

Washington, Indiana 47501

812-254-1500

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