Form Center

2. 
3. Instructions

   Complete this form and then press the Submit and Print button.
   After printing the form, send it to:
   Jefferson County Courthouse  
   210 Courthouse Way
   Rigby, ID 83442

   Include with the form your payment and a copy of your food handling certificate, if applicable.

5. Vendor Day Permits
   -- Select One --Independence Day - July 1, 2023 ($90.00)Vendor Day Permit for 1 ($60.00)Vendor Day Permit for 2 ($80.00)Vendor Day Permit for 3 ($130.00)Vendor Day Permit for 4 ($220.00)

   Select one of the permit options.  All vendor permit proceeds will go toward improvement of Jefferson Lake.

6. Application Date
   Application Date
8. Contact Name
10. Business Name
12. Address
14. City
15. State
16. Zip Code
18. Phone Number
19. Email Address
21. Products Sold / Served
23. Trailer Dimensions
25. Power Options
    -- Select One --Providing own power generatorConnect to facility power with own extension cords (at least 10 gauge)

    Vendors who want to connect to the facilities power must provide electrical cords that are at least 10 gauge and no longer than 100 feet long. Vendor will be responsible for their own power if there is not enough available on site.  Please bring a backup generator to run your equipment if needed.  Loss of revenue because of power failure is not the responsibility of Jefferson County Lake.

    
    

Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit Submit and Print

* indicates a required field