Granville LIVE! Vendor Information Form
📅 Event Date: Saturday, October 18, 2025📍 Location: 3200 Bliss Trail, Stem NC Vendor Fees: $25
Today's Date
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Month
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Day
Year
Date
Vendor Details
Business/Organization Name
Contact Person (First & Last Name)
Contact Number
Contact Email
example@example.com
Website URL
Social Media URL
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Vendor Type
Food and Beverage
Arts and Crafts
Retail / Merchandise
Nonprofit / Community Organization
Small Business / Information
Other
For Other, Please Specify
Are you a current Granville County Chamber Member?
Yes ($50 Vendor Fee)
No ($100 Vendor Fee)
General Business/Organization Description
Vendor's Representative Name
First Name
Last Name
Vendor's Representative Email
example@example.com
Vendor's Representative Signature
Date Signed
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Month
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Day
Year
Date
Print Form
Submit
Submit
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