Vendor Registration Form

Vendor Registration Form
Applicant Name*

First NameLast Name
Business Name*
E-mail*
example@example.com
Phone Number*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
List the product(s)/service(s) you will be selling*
Special Requests
I blanks , owner of the business, hereby agree to donate 10% discount of my gross sales to the Muslim Association of Hamilton. Upon your request, I will be able to submit competitive quotations on any or all of the above products/services.
Date Signed
Signature

Clear
Should be Empty: