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2. Mobile Vending Unit Name*
4. Owner's Name*
6. Owner's Contact Phone Number*
8. Itinerary Valid from the Following Dates*
   Itinerary Valid from the Following Dates Start Date

   —

   Itinerary Valid from the Following Dates End Date
10. List prepared or pre-packaged food served:
12. Vending Location Address*
13. Days at Location*

    1. Sunday
    2. Monday
    3. Tuesday
    4. Wednesday
    5. Thursday
    6. Friday
    7. Saturday
14. Start and Stop Time*
    Start and Stop Time Start Time

    —

    Start and Stop Time End Time
16. Vending Location Address
17. Days at Location

    1. Sunday
    2. Monday
    3. Tuesday
    4. Wednesday
    5. Thursday
    6. Friday
    7. Saturday
18. Start and Stop Time
    Start and Stop Time Start Time

    —

    Start and Stop Time End Time
20. Vending Location Address
21. Days at Location

    1. Sunday
    2. Monday
    3. Tuesday
    4. Wednesday
    5. Thursday
    6. Friday
    7. Saturday
22. Start and Stop Time
    Start and Stop Time Start Time

    —

    Start and Stop Time End Time
24. Vending Location Address
25. Days at Location

    1. Sunday
    2. Monday
    3. Tuesday
    4. Wednesday
    5. Thursday
    6. Friday
    7. Saturday
26. Start and Stop Time
    Start and Stop Time Start Time

    —

    Start and Stop Time End Time
28. Vending Location Address
29. Days at Location

    1. Sunday
    2. Monday
    3. Tuesday
    4. Wednesday
    5. Thursday
    6. Friday
    7. Saturday
30. Start and Stop Time
    Start and Stop Time Start Time

    —

    Start and Stop Time End Time
32. Vending Location Address
33. Days at Location

    1. Sunday
    2. Monday
    3. Tuesday
    4. Wednesday
    5. Thursday
    6. Friday
    7. Saturday
34. Start and Stop Time
    Start and Stop Time Start Time

    —

    Start and Stop Time End Time
36. Commissary or CPF Service Visit
37. Days at Location

    1. Sunday
    2. Monday
    3. Tuesday
    4. Wednesday
    5. Thursday
    6. Friday
    7. Saturday
38. Start and Stop Time
    Start and Stop Time Start Time

    —

    Start and Stop Time End Time
40. Commissary or CPF Service Visit
41. Days at Location

    1. Sunday
    2. Monday
    3. Tuesday
    4. Wednesday
    5. Thursday
    6. Friday
    7. Saturday
42. Start and Stop Time
    Start and Stop Time Start Time

    —

    Start and Stop Time End Time
44. (Please submit additional itinerary pages if needed.)
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46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit

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