Event Request For Chef Justin Timineri

Florida Department of Agriculture and Consumer Services
Division of Marketing and Development
Return requests to:
Director's Office
Florida Department of Agriculture and
Consumer Services
Mayo Building, 4th Floor (M9)
407 S. Calhoun St.
Tallahassee, Florida 32399-0800
EVENT REQUEST FOR
CHEF JUSTIN TIMINERI
ADAM H. PUTNAM
COMMISSIONER
Phone (850) 617-7330; Fax (850) 617-7331
[email protected]
To request Chef Justin at an event, please print and complete this application and submit to the
Division of Marketing and Development at least 60 days prior to the event.
CONTACT INFORMATION
Name:
Phone Number:
Email:
EVENT INFORMATION
Name of Event:
Event Phone Number:
Number of Attendees:
Address:
City:
State:
Zip:
County:
Attendees/Target Audience:
Event Time(s):
Event Date(s):
Expenses/Travel (How will expenses be paid):
Check all items below that pertain:
Interested in cooking demonstration
Commodity sampling
Speaking engagement
Handouts/materials required
Teaching exercise
Recipes
If food preparation and/or serving will be part of the event, please indicate the following:
Kitchen available:
Yes
No
Is the Kitchen:
Onsite
Offsite
Will there be adequate preparation and display area for the food?
Will there be cooking and baking facilities available?
Will there be proper storage and refrigeration facilities for the food?
Will this space be dedicated to Chef Justin for this function or will it be a shared area?
Event Disclaimer: Completion and submission of this form does not guarantee approval. Requests are reviewed
individually and will be given every consideration.
FDACS-06207 08/12