PoloxJazz 2026 Vendor Registration Form
Vendor Details
Company name
*
Contact Number
*
Company Email
*
example@example.com
Website URL
Social Media Accounts
*
Platform: @Handle; Platform: @Handle;
Company Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Company Logo
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Vendor Representative Details
Vendor's Representative Name
*
First Name
Last Name
Vendor's Representative Email
*
example@example.com
Who was your original point of contact?
AFKSEF
Tuskegee Airmen
Grandiousty
Vendor Product Details
Vendor Type
*
Commercial Vendor (For-Profit Business)
Non-Profit Community Partner
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Commercial Vendor Product Details
Vendor Product Type
Food
Retail
Beverage
Sponsor / Brand Activation
Products Description/Menu
Products Description/Menu File Option
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Product Price Range
Product Images
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Non-Profit Community Partner Details
Are you a registered 501(c)(3)?
Yes
No
Proof of fiscal sponsorship
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Organization mission and focus area
Community served
Intended booth activities
Will you account donations?
Yes
No
Will you sell merchandise?
Yes
No
Electricity needed?
Yes
No
Water access needed?
Yes
No
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Vendor Sponsorship Options
Vendor's Representative Signature
Submission Date
-
Month
-
Day
Year
Date
Print Form
Submit
Submit
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