"My Sister My Village" Vendor Registration Form
2026 WALC Annual Village Health Fair
Your Name
*
First Name
Last Name
Business Name
*
E-mail
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
City where you are located
*
What type of a vendor are you?
Information and Resources Vendor (Free)
Sales Products Vendor- $50 Fee
Please submit your vendor fee through one of the payments choices below:
Please Select
Zelle at elimuempowerment@gmil.com
Cashapp at $INABAY
Cheque to Elimu Empowerment
Vendor fee is due upon registration
Special Requests
Date Signed
Signature
Number
Submit
Which Zone will you be participating in
Please Select
I. Access to Care Zone
II. Wellness and Healing Zone
III. Health Living Zone
IV. Family and Youth Zone
V, Community Connection Zone
V1, Special Care and Education
Should be Empty: