Vendor_Information_Form_POC

Vendor Information Form

PLEASE READ: Thank you for your interest in working with us! Please take the time to fill out this form. This form DOES NOT confirm your spot as a vendor. Vendor spots will ONLY be confirmed upon review and once payment is received. If you have any questions, please contact our team: email culturepowerdigital@gmail.com
Today's Date

MonthDayYear
Date
Vendor Details
Name of Business*
Contact Number*
Email*
example@example.com
Website URL
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Organization Type*

CorporationPartnershipSole ProprietorshipSingle Member LLCNonProfitOther
Select Vendor Type*

Vendor Space at Event. $200Vendor Space at Event + Marketing $300Swag bag Donation (150 bags). $80
Nature of Business*

TechnologyFinanceFashion/AccessoriesEducationBeauty and HaircareReal EstateArtNonProfitConsumer GoodsOther
Short Description of Your Brand
Your Brand Image/Logo
Contact Person Details
Vendor's Representative Name

First NameLast Name
Vendor's Representative Email
example@example.com
Vendor's Representative Signature

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Date Signed

MonthDayYear
Date
Should be Empty:

Vendor Information Form