Summer Wrap-Up Vendor Form

1

Business/Organization Name* This field is required.

2

Contact Person* This field is required.

First Name

Last Name

3

Phone Number* This field is required.

Please enter a valid phone number.

4

Email* This field is required.

example@example.com

5

Website* This field is required.

6

Social Media Handle* This field is required.

7

Type of Service/Product Offered* This field is required.Check all that apply!

Barber/Stylist

Therapy Services (ABA, Speech, OT, etc.)

Education/Tutoring

Health & Wellness

Sensory Tools/Toys

Community Resources/Nonprofit

Food Vendor (please describe below in other)

Other

8

Will you need access to an electrical outlet?

YESNO

9

School Supply Donation* This field is required.Please indicate how you plan to contribute:

I will bring school supplies the day of the event (please share what you will provide in the "other" space below)

I will donate via the Amazon Wishlist

Other

10

Additional Notes or Requests: