2024 USC-DC Vendor Registration Form
Hyatt Regency Crystal City, 2799 Richmond HWY, VA 22202 December 11-15, 2024
Company Name:
*
Registered Owner Name
*
Prefix
First Name
Middle Initial
Last Name
Suffix
Contact Number
*
E-mail
*
example@example.com
Company Website:
*
www.example.com
Type of Merchandise:
*
i.e. Shirt, Hats or Socks
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Signature
*
I have read the terms of the vendor contract and acknowledge that this is an official vendor agreement between my company, which I am an authorized agent of, and the United Supreme Council, Ancient & Accepted Scottish Rite For the Thirty-Third and Last Degree of Freemasonry for the United States of America and its Jurisdictions, Inc., Prince Hall Affiliated.
My Products
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Vendor Booth Fee
$
400.00
Quantity
1
2
3
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5
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8
9
10
Credit Card
Submit Registration
Should be Empty: