FIRST MONDAY VENDOR PERMIT APPLICATION

SCOTTSBORO, ALABAMA

1-256-574-3100 Ext.237

E-Mail:1stMonday@scottsboro.org.

VENDOR INFORMATION

 Vendor Name: ________________________________________

 Mailing Address:  _____________________________________

 City: __________________ State:  _________   Zip: __________

 Home Phone:_______________ Work Phone: _______________

 Email address: ________________________________________

TYPE OF PERMIT BEING APPLIED FOR

Annual: ___________________   Monthly:  __________________

 Application Date: _____________ 

Space (s) No(s). Requested:_______________

 VEHICLE INFORMATION

Make:  _________________________Model:______________________

 Year_________________          Tag Number:    __________________

 VIN Number: ______________________________________________

VENDOR PRODUCT INFORMATION

Type of Merchandise you are proposing to Sell/Trade:

FOR OFFICE USE ONLY:

Date Permit Issued: ______________Permit Number: ________________

 Permit Expiration Date: _________ 

Space(s) Assigned:___________________