Juneteenth Vendor Application Form

Juneteenth Vendor Application Form

For small businesses owned or partially owned by individualls who identify as BIPOC.
Full Name

First NameLast Name
Business Name
Briefly describe your products and/or services. This will be used for promo on social media.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Website link and socials (instagram, facebook, etc.)
Do you need an electrical outlet?
Do you have products or services that target moms, families, children, or are Juneteenth related? If so, briefly describe below.
Please upload your logo and any pictures we can use to advertise on our socials.

Cancelof
Should be Empty: