VENDORS FOR EVENTS 2024
INQUIRY FORM
Which event would you like to be a vendor for?
*
EmpowerHER Pen Workshop (May 11th)
The PowerHouse Connection (June 8th)
Participant Information
Name
*
First Name
Last Name
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Occupation
Optional / Current or Previous
Company Name
Optional / Current or Previous
Job Position Title
Optional / Current or Previous
Website url
Vendor Payment
*
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Name: A to Z
Name: Z to A
Price: Low to High
Price: High to Low
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Vendor Secured Payment
(Nonrefundable)
$
89.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
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