2025 APHEA Vendor Application Form

Company Name*

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Vendor Representative's Name *

First NameLast Name

Vendor Representative's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Vendor Representative's Phone*

Please enter a valid phone number.

Vendor Representative's Email

Please provide your product/ resource description:*

I have materials I would like to include in a complementary handout bag. If you answer "YES", then all materials must be mailed to the address listed on our website by March 1st.*

YESNO

If you would like to donate an item(s) to the Silent Auction, please give a brief description below: *If you are making a donation to the Silent Auction, please bring those items to the vendor setup.

Please confirm:*

I certify that I will not be promoting a homeschooling program or product that is directly funded by federal or state money.

I am interested in providing a Vendor Workshop(s) (50 min). The Convention Committee will select workshops from those submitted, and vendors will be informed by March 21st as to whether or not they were selected. There is no fee for this opportunity.*

YESNO

Please provide the workshop(s) brief description:

PAYMENT INSTRUCTIONS:

Please fill out the form below.

Step 1. Enter the "Quantity" of each option you would like to purchase.

Step 2. Calculate the "$ Amount" for each option you selected.

Step 3. Add the amounts in your "$ Amount" column together to get the total amount due.

Step 4. Please write a check to APHEA for the amount you calculated is due. Mail the check to:

APHEA

189 E. Nelson Ave. #179

Wasilla, AK 99654

If you have any questions about the payment process, please contact Alonna Carson at (907) 602-1663

Payment Calculation Form*

	Quantity	$ Amount
First 8 ft Table ($135)
Each Additional 8 ft Table ($115)
Half 8 ft Table ($95)
Electricity Access ($25)
APHEA Membership ($25)
Total Amount Due