The Black Entrepreneur Experience Registration Form 3

WELCOME

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Name*

First NameLast Name

Phone Number*

Area CodePhone Number

Email*

example@example.com

Company Name*

Brief Description Of Items Your Selling*

Description

YesNo

NoneSomewhatSeasoned

21yrs-under22yrs-35yrs36yrs-4950yrs-above

Brief Description of how you would describe your personality*

DefinitelyNot ReallyNo

Do you have at least one or both, Instagram or Facebook? if so what's your handle*

Upload Logo

Logo

TBEE TERMS & CONDITONS*

Date

Signature*

My Products*

Vendors Fee

Vendor's package- 1 6ft Table, 2 chairs, vendor tag and flyer for social media

$135.00

Food Vendor

Vendor's package- 1 6ft Table, 2 chairs, vendor tag and flyer for social media

$160.00 Quantity

Consultants

Vendor's package- 1 6ft Table and 2 chairs Credit Repair, (services not for fee) Health & wellness, Nutritionist, Weight loss, Cleaning Services ETC.

$75.00

NON-REFUNDABLE APPLICATION FEE

$10.00

speakers

Vendor's package- 1 6ft Table, 2 chairs (Min. 15- minute talk session) Topics includes: Entrepreneurship, Business, Finance, and Motivational.

$75.00 Quantity

Total

$0.00

Credit Card

Afterpay