2019 Vendor Food Show Registration Note: All booths must be paid in full by August 21 in order to participate in the Fall Show. ALL VENDORS MUST ARRIVE TUESDAY BY 9AM Step 1 of 3 33% 2019 Fall Food Show Vendor RegistrationLamar Dixon Expo Center - 4H Building 9039 South St. Landry Ave., Gonzales, LA 70737 Vendor Setup: Tuesday, September 24, 2019 | Show Day: Wednesday, September 25, 2019Brokerage Company NameVendor Name*Name on Booth Sign*Key Vendor Contact Name*Key Vendor Contact Email* Who is your AG Contact?* 1 FULL BOOTH (10x10) INCLUDES THE FOLLOWING: 2 - Chairs 1 - Small trash can 1 - 6ft table wrapped & skirted (front) 1 - Booth sign for vendors with full booth 1 - 8ft table with linen (back) 1 - 8 ft high back drop drape 2 - 3 ft side drape 40 - Copies of food show surveys Lunch during vendor set-up day provided by Manda BOOTH AGREEMENT1 Full Booth Price: $2,300.00 Quantity: Would you like to purchase Carpet for your booth(s)?Only in Grocery Area - No Perishable booths Price: $40.00 Quantity: Sponsorship Opportunities: Tuesday Night Kickoff Event - Casino NightAll options include signage & recognitionCasino Table Sponsorship Price: $250.00 Quantity: Raffle Prize for Retailers SponsorshipSelect from the Following:$0$150$300$400$500Booth Giveaway Price: $500.00 Quantity: ELECTRICALA 110 volt, 0-500 watt outlet will be provided. If you need additional electricity please select from the following. If you have questions about your electrical needs please contact Leigh Ann (email@example.com) Do you need any electrical?*YesNoWhat exactly will you need electricity for?*(Fryer, charging station, crockpot, electrical skillet, etc.)208 Three Phase, 15 amp Price: $165.00 Quantity: 208 Three Phase, 25 amp Price: $215.00 Quantity: Total Due: $0.00 NOTE: Under no circumstances will any booths be allowed to open that have not fully paid.PAYMENTPlease list the method of payment. Make checks payable to: Associated Grocers, Attn: Leigh Ann Charles Fall Food Show, P.O. Box 261748, Baton Rouge, LA 70826-1748 Payments Due: August 21, 2019 If the deadline is missed, all surveys submitted will be pulled. A Late payment will be subject to a $300 late fee. All Late fees (including booth payments) must be paid in full by Friday September 13 in order to participate in the show.*Vendor NumberVendor NamePayment AmountPayment Type Check Billback Don't know your Vendor Number? Want to double check your Vendor Number? Just Log into Vendor Portal! VENDOR REPRESENTATIVESList All Vendors who will be attending. (This is to be sure a name badge is provided.)* Please list this information as it would appear on a name badge First NameLast NameCompanyTitleAttending Show Setup?Attending Kick-Off Cookout?Attending Show Day? Yes NoYes NoYes No INTERNETAssociated Grocers will provide wifi during the Food Show.CONCESSION STAND USAGEThe concession stand WILL NOT be available for use. All equipment needed to prepare/cook your samples must be brought with you. Electric fryers ARE ALLOWED (Gas fryers ARE NOT PERMITTED!). All electric fryers used must have a lid available for immediate use and it must be placed on a non-flammable surface. Fryers must be at least 2ft apart as well as 2ft away from combustible materials. A fire extinguisher must be provided within the booth for each device.AG RETAILER HOTEL GIFT BAGSAre there any items you would like to potentially include in the AG retailer hotel gift bags?*This is a great opportunity to place your item into the hands of a majority of our Retailers! YesNo* Product must be donated, 200 gift bags will be made * ** Leigh Ann will contact you if interested. ** If So, What Item?*GMRA Golf TournamentWould you like to receive information about the GMRA Golf Tournament?YesNoPlease Mark that you have read the supplied information.* Is the above information correct? * Do you understand in order to participate in the show, all payments are due in full by August 21? * Do you understand a late payment will result in a $300 late fee? All late fees and booth payments must be paid in full by September 13 to participate in the show.