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Health Department Form

* denotes required field

1. Event

Name Taste of Buffalo
Location Delaware Avenue and Niagara Square
City, Town, Village Buffalo, NY
Event Dates 07/08/2017 - 07/09/2017

2. Food Stand

3. Operator

4. Fee Required

The ECDOH fee of $106 is included in your entry fee, a separate check is not needed.

5. Signature

I acknowledge that the information within this form is correct and my signature is notorized electronically by the checking of this box.
If you see this, do not fill out this input field

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TASTE OF BUFFALO® is a registered trademark of A Taste of Buffalo, Inc.
The Taste of Buffalo name and/or logo may not be used in any form without the prior written approval of A Taste of Buffalo, Inc.
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