Vendor Registration Form

What type of event is this?

Birthday Party Small social function Daycare/Preschool/Elementary School Event Public Event

How many children are you expecting? An estimate is fine.

How many adults are you expecting? An estimate is fine.

Organization/Business if applicable

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Contact Name

First Name Last Name

Phone Number (Day)

Area Code Phone Number

Phone Number (Evening)

Area Code Phone Number

E-mail

Date

Time

Hour Minutes

AM/PM Option

My Products

Fairy Ashley's Music and Movement Class 30 minute interactive play date with bubbles, parachute games and music

$ 200.00

Puppet show with Ms. Ashley 45 minute interactive puppet storytelling with scenery and props narrated by Ms. Ashley character. Choice between Nguzo Babies Kwanzaa story or selected Nguzo Babies story

$ 300.00

Full Performance Full performance with actors and drummers of selected script.

$ 600.00

Shirt add on Purchase a child sized Nguzo Babies Shirt for guests!

$ 9.00 Quantity

Kwanzaa Book Add On Purchase our first Kwanzaa book for guests!

$ 7.00 Quantity

Ama Mascot Add On Giant sized Ama mascot visit.

$ 150.00

Craft Add On A simple craft to accompany your presentation.

$ 20.00

Total

$ 0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Nguzo Babies Vendor Request Form