Diverse Dining Market Vendor Application

First name

Last name

Email

Phone

Address

What is the name of your business?

How long has your business been in operation?

0-3 years

3-5 years

5-8 years

8 or more years

Do you currently operate out of a licensed commercial kitchen?

Yes

No

Maybe

What is your specialty?

Have you attended a vendor orientation at 250 E. Wisconsin Ave.?

Yes

No

Maybe

What time day of the week are you most interested in?

Tuesday & Thursday

Wednesday & Friday or Saturday

No slot-interested in selling pre-packed items only

Do you have a current customer base?

Yes

No

Maybe

How many follower do you currently have on your social accounts?

0-1,000

1,000-5,000

5,000-10,000

10,000 +

What other supports do you need for your business?

Are you Safe Serve Certified?

Yes

No

Other

Do you have a seller's permit?

Yes

No

Maybe

Are you interested in participating in a building events or other special promotional events?

Yes

No

Maybe

Please upload the following items: logo, business, license & safe serve certificate (if applicable)