The Nation of Islam Muhammad Mosque #23 and That Brown Bag Community Market Business Bazaar Vendor Application Form

P.O. BOX 237 BUFFALO, N.Y. 14205

Your Community Business Group 5 Walden Avenue Buffalo, New York 14211 (909) 637-6985
The Nation of Islam Muhammad Mosque #23 and That Brown Bag Community Market Business Bazaar Vendor Application Form
- VENDING FEE $75.00 PER WEEK OR $30.00 PER DAY
- SPECIAL EVENT FEE $75.00 PER DAY (i.e. Juneteenth, festivals)
- CITY OF BUFFALO VENDOR REGISTRATION FEE (ONE TIME FEE $26.25) PER VENDOR APPLICATION
- Please note no alcohol or cannabis vendors may be accepted at this time
BUSINESS NAME
STREET ADDRESS
CITY
STATE
ZIP CODE
TELEPHONE NUMBER
OWNER NAME
PRODUCT/ SERVICE
NUMBER OF VENDOR SPACES DESIRED
NUMBER OF WEEKS PER SPACE
DATE(S) DESIRED

MonthDayYear
Date
Signature

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TOTAL AMOUNT ENCLOSED
MAKE CHECKS/ MONEY ORDERS: PAYABLE TO MUHAMMAD MOSQUE #23

MAIL TO MUHAMMAD MOSQUE #23, P.O. BOX 237, BUFFALO, NEW YORK 14205

or call 909-637-6985
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