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Mobile Food Unit (MFU) Commissary Permission

  1. Name of Food Truck
  2. Type of food vehicle*
  3. Name of restaurant where food truck will report for servicing
  4. food truck owner or agent
  5. food truck owner mailing address
  6. commissary owner or agent
  7. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  8. As owner of commissary, I give permission for the above mobile food truck or cart to service the unit, store food and utensils and to store the unit on my property.
  9. Leave This Blank:

  10. This field is not part of the form submission.