Vendor Form

VENDOR REGISTRATION FORM

Welcome vendors and thank you for your interest. Please complete the vendor registration form below to join our listserv and receive email announcements regarding upcoming events. Should you have any questions, please contact Jonathan Chism, info@autismdadssocialclub.org.
Name of Business/Organization
Contact Name

First NameLast Name
E-mail
example@example.com
Phone Number
Please enter a valid phone number.
Please provide a description of your business or the service your desire to promote
Please select all of the events that you would like to attend as a vendor or sponsor.

Back to School EventAutism Families BarbecueEaster CelebrationHalloween Festival
Cost per Table per Event:

$100 for Established Businesses/Corporations

$50 for Small or New Businesses

Free for Nonprofits - Donations Welcomed

Vendor payments must be made paid to the Autism Dads Social Club link at least 24 hours prior to the start of each event.
My Products
prevnext( X )
Vendor BoothLarge Corporations
$100.00 Quantity



Vendor BoothSmall Business
$50.00 Quantity



Nonprofit
$ Free Quantity



Total

$0.00
Agreement:Vendors are responsible for bringing their own table and chairs to the event. Vendors agree that their booth will remain up and active from the beginning of the event until the close of the event.
Signature

Powered by Jotform SignClear

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

VENDOR REGISTRATION FORM