Vendor Registration Form

Vendor Registration Form
Contact Name*

First NameLast Name
Contact Email*
example@example.com
Contact Phone*
Please enter a valid phone number.
Company Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please give a brief description of what you will be vending during the conference.*
Payment Schedule
*
prevnext( X )
Art & Crafts Vendor - 1 table$200.00/Day x 2.5 Days = $500
$500.00CAD Quantity



Arts and Crafts Vendor- 1 clothing rack.$20.00/Day x 2.5 Days = $50
$50.00CAD Quantity



Information Vendors - Table$120/Day x 2.5= $300 An information vendor can not sell any products
$300.00CAD Quantity



Additional Helper$96/ Day x 2.5
$240.00CAD Quantity



Total

$0.00CAD
I will pay*

In advance of the conference through valid cheque, or EFT (this option is for organizations only).On the first day of the conference by debit, credit, or cheque.
My organization wishes to pay by EFT*

YesNoI am not part of an organization
I understand I will not be able to set up my table(s) and vend until I have paid the vendor registration price in full.*

Yes, I understand.
Reminders
- Cancellation - Vendor registration fees are non-refundable.
- Disclaimer - Be advised this even is being videotaped, recorded and will be published. By entering this venue, you are volunteering to be a part of the production
- Additional Information- Each Vendor will receive one lanyard for meal access during the event.
- Payment Method - Cheque or money order payable to
  - Alexis Nakota Sioux Nation
    Box 7 Glenevis, Alberta T0E 0X0
    REF: Indigenous Wellbeing Conference
- For E-transfers (EFT) this information will be sent out to organizations that have selected the ETF payment option.
Questions? Contact Candice Moberly, Event Coordinator

Phone: 780-783-0377 Email: candice.moberly@ansn.ca
Should be Empty:

Vendor Registration Form

Payment Schedule

Reminders