Vendor Registration Form

QUEENS BLOOM VENDOR REGISTRATION

QUEENS EMPOWERMENT ACADEMY
Event Date: April 26, 2025Event Timing: 5:00-7:30pm
Event Address: 1001 N 17th Street 08105 Camden, NJ
Contact us at (203)640-2224
The vendor fee is $25, which includes:

A designated space at the event.
Table
Promotion on our social media platforms and marketing materials
Setup Time: 3:00-4:30
RSVP by our deadline of April 5, 2025. Space is limited, so we encourage you to reserve your spot early.

Payment Deadline : April 19, 2025
Company Contact Information
Organization/Business Name
Business Type
Point of Contact

First NameLast Name
Phone Number (Evening)

Area CodePhone Number
E-mail
Company Overview
General Details of Services/Goods
LOGO Upload

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I agree to pay the vendor fee of $25 by April 19, 2025 deadline.

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Zelle- queensacademynj@gmail.com
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Company Representative Signature

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QUEENS BLOOM VENDOR REGISTRATION