Vendor Form
Name: _________________________________________
Address: _______________________________________
Phone Number: _________________________________
Email: _________________________________________
Name of Business (if applicable)___________________
_____ Not for Profit _____ For Profit
Mark which Day(s) you want to set up?
_____ Jul 27 _____ Jul 28 _____ Jul 29
What Size Space do you want?
_____ 10x10 _____ 10x20 _____ 20x20
Not For Profit No Charge Not For Profit No Charge Not For Profit No Charge
For Profit $25/day For Profit $50/day For Profit $100/day
Do you need electricity?
_____ NO _____ YES Not for Profit $25, For Profit $50
One Time Flat Rate
What type food or product are you selling: ___________
_________________________________________________
_________________________________________________
Return completed form and payment to Riverton Village Office, 1200
Riverton Rd, Riverton, IL 62561 to reserve your space.
For more information, call 217-629-9122

* Village has the right to approve foods sold or limit food vendors
** One Vendor per Direct Sales Company
Booth Sizes Available 10x10, 10x20, and 20x20
Jul 27 5-10 pm, Jul 28 5-10 pm, Jul 29 10 am – 10 pm
Participate in any one day, all 3 days, or any combination
Non-Profit Organizations – No Charge for vendor space
If electricity needed $25 (One time flat rate)
For Profit Organizations
10x10 $25/day 10x20 $50/day 20x20 $100/day
If electricity needed $50 (One time flat rate)
Complete form on back of flyer and bring or mail to Village
Office, 1200 Riverton Rd, Riverton, IL, along with payment
for vendor space to reserve your spot.