Clone of Vendor Registration Form- Phase One

West Park Wellness Vendor Registration

Complete the form below to participate as a vendor in our 2025 Wellness Festival. All submissions must be submitted by 6/14/25. You can expect to receive an email with your acceptance within 7 days of your submission along with the following steps.
Company Contact Information
Organization/Business Name
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Point of Contact

First NameLast Name
Phone Number

Area CodePhone Number
E-mail
Company Overview
Describe your Purpose for Vendoring (This is Multiple Choice)

Providing a serviceSelling a product (Not Including Food)Resource (Nonprofit/ Informational)PromotionalFood Vendor
Short Description of your Establishment (Used for promotional purposes)
Upload file(s) to promote your establishment (ex: logo/ headshot)

Cancelof
Necessary Insurance?

YesNo
Upload your certificate of Insurance (COI)

Cancelof
Necessary Licenses?

YesNo
Set up requirements?

I will provide my own set upI am a mobile vendor & need street parking (ex. Food truck)6ft table ($15)Two Chairs ($5)I will be brining a tent (Tents must be weighted not staked & 10x10 or smaller)
Please submit your payment for rentals within 24 hours of application submission to one of the following options:

Cash App ($allyalchemy7)Apple Pay (808)226-7297 (include business name)Zelle (Alyscia Rivera- 8082267297)Venmo (@allythealchemist)
Date

MonthDayYear
Date
I hereby affirm that all information provided above is accurate to the best of my knowledge and belief. I have completed all necessary requirements for this application and would like to move forward with vendoring for this event. I understand I will receive additional email contact with other requirements that must be completed by 6/14/24 before receiving an official confirmation of your vendor acceptance.
Company Representative Signature
Should be Empty:

West Park Wellness Vendor Registration

Company Contact Information

Company Overview