DFTA MEMBERSHIP APPLICATION
1. APPLICANT INFORMATION
Business Name
*
Owner/Operator Name
*
Owner/Operator Name: Phone #
*
Include This # On Member's Page?
*
Yes
No
Email Address
*
example@example.com
Include This Email On Member's Page?
*
Yes
No
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Include This Address On Member's Page?
*
Yes
No
2. FOOD TRUCK INFORMATION
License Plate Number
Truck Name(s) (if different)
Truck Size - Dimensions
Date Business Established
/
Month
/
Day
Year
Date
Cuisine Type - Menu Focus
Upload Your Business Logo And Any Images You Want On Your Member's Page
*
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What Is Your Food Truck Website Addresss?
Your Truck Facebook Link/URL
Additional Social Media Account 1st LINK (Instagram, Twitter, etc)
Additional Social Media Account 2nd LINK (Instagram, Twitter, etc)
3. REQUIRED DOCUMENTATION (please attach copies)
Required Documention
*
Current Business License (State of Ohio Vendor's License Number)
Health Department License (Ohio Department of Health)
Proof of Insurance (liability, vehicle, workers comp if applicable)
Photos of Food Truck (interior and exterior)
ServSafe Managers Certificate
Upload Your Documentation Here:
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4. EVENT PARTICIPATION & OPERATIONS
Typical Operating Areas or Cities
Preferred Event Types
Corporate/Private Events
Festivals
Food Truck Rallies
Catering
Other
5. ASSOCIATION INVOLVEMENT
Why do you want to join the Association (e.g., networking event access advocacy collaboration)?
How did you hear about us...
Referred by...
6. MEMBERSHIP DUES
If paying by check, make payable to Dayton Food Truck Association, PO Box 750772, Dayton, OH 45475 (we do accept ACH Bank Transer - see below).
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Membership Dues (Annual)
$
154.00
Quantity
1
2
3
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5
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9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
ACH Bank Transfer
7. AGREEMENT
I certify that the above information is true and complete to the best of my knowledge. I agree to comply with all rules, regulations and event standards of any and all events attended while a member of the Dayton Food Truck Association. I acknowledge that my application is subject to approval by a member vote. Should my application be declined, a refund will be issued to me, less any credit card processing fees incurred.
*
Date
*
/
Month
/
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Please enter any additional information regarding this application, including member site text you want us to include, etc.
Office Use Only
OFFICE USE ONLY
Reviewed By
Date Received
*
/
Month
/
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Approval Status
Approved
Pending
Denied
Membership ID
Notes
Please Verify That You Are Human
*
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