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Vendor Participation Form - Vendor/Benefits Fair

  1. The County of Humboldt is hosting a benefits fair for its 2,000+ employees as part of its 4nd Annual All Hands Training Day on October 14th, 2019. We are seeking a variety of vendors including but not limited to food trucks, local businesses and businesses specifically offering discounts to county employees. County employees and members of the public will have the opportunity to visit your booth from 11am to 2pm as county employees convene for lunch on the green and a benefits fair at Halvorsen Park.

    Find more details on our website.

    Please complete and return this form with payment to the Humboldt County Administrative Office at the above address no later than September 23, 2019. For questions, contact us at 707-445-7266 or email

  2. Event Details

    Date: October 14, 2019
    Time: Setup begins at 8 am and must be completed by 10:30 am. The park will be open to employees and the public until 2 pm.
    Location: Halvorsen Park, Eureka
    Vendor Cost: To reserve your space and offset the cost of renting the facility, there is a nominal fee of $20 for food trucks and $10 for vendors. Nonprofit organizations will not be charged.

  3. Please provide information for your sales contact.

  4. I/We would like to:

  5. If you chose other, please describe

  6. Can you provide proof of insurance?

    Some vendors will need to provide proof of insurance depending on the items being sold at the event.

  7. How will you be remitting payment?

    Please ensure your payment notes that it is for the Vendor/Benefits Fair.

  8. Remitting Payment

    Please remit payment to:
    County of Humboldt
    825 5th Street, Room112
    Eureka, CA 95501

  9. Terms of acceptance and signature

    I, the applicant for this vendor registration form, warrant the truthfulness of the information provided in this application.

  10. Please type your first and last name

  11. Confirmation*

  12. Leave This Blank:

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