Beverage Vendor Application


Contact Person *
Contact Person
Office Phone
Office Phone
Home Phone
Home Phone
Cell Phone
Cell Phone
Approximately how many workers will you need to assist with your station? We suggest 3-6.
Information for Program
Picture for Program *
Information on company
Each station must provide 1500 taste-sized portions of food.
Information for Volunteer Coordinators
We recommend up to six people only to man a station.
Do you need volunteers? *
Mandatory information for Health Department
Do you have a Catering Permit *
Supplies & Equipment Information
Do You need Coolers?
Will you need Ice?
Electrical Power Needed?
Other Supplies
Please check all supplies needed. We will order based on 1500 servings per station. If you are manning more than one station and serving more than one type of food, we may contact you by phone or email for clarification of supply needs:
Including Station Location Requests.
Other Information
Are you interested in participating in pre-event publicity?
Such as on-air radio interviews?
Please list any other requirements, comments, or requests including location requests.
Information for off-island Beverage Vendors
Your contact person for travel is Shannon Donnelly at
Off-island participants are invited to book their own flights. You will be reimbursed a flat dollar amount toward the expense of one round trip ticket.
If you are coming from off-island, will you be preparing food at a Kauai restaurant or other approved commissary? If yes, Where?
Tickets will be required for everyone coming in the gate, including restaurant staff. These will be given out during the chef briefing and walk-thru. Please indicate below how many workers you will be bringing to staff your station – It is difficult to fit more than 6 workers in a station. Additional tickets are available at a discounted price of $55 each with a limit of 10 per product sponsor participants. You may send a check with the PDF version of this form, payable to Kapaa Rotary Foundation or, you may contact Jakki by phone with credit card information. These discounted tickets will be mailed to you as soon as Jakki receives payment – Or she will follow your instructions such as "please leave tickets at will call under the name John Doe". Please call Jakki at (512)-796-2381 or email with any questions!