Shiloh's 5th Annual Black Business Owners Expo Vendor Registration
For vendor consideration, please complete this form by January 19, 2026. Please email expo@shilohplainfield.org with any questions.
Date
/
Month
/
Day
Year
Date
Full Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
City, State, Zip Code
Business Name
Business Website
Business Social Media Profiles (if applicable)
Business Address (if different from above)
Address
Street Address
Street Address Line 2
City
State / Province
City, State, Zip Code
Cell Phone #
Please enter a valid phone number.
Business Phone # (if applicable)
Please enter a valid phone number.
Email
example@example.com
Please Describe Your Product or Service
How did you hear about the EXPO?
How many times have you participated in the Expo?
*
Once
Twice
Three Times
First Time
My products can be displayed on one table.
*
Yes
No
*FOR VENDOR CONSIDERATION, APPLICATION MUST BE RECEIVED BY JANUARY 19, 2026*
$50.00 registration fee will benefit the Shiloh A. Ross Brent Scholarship Fund
Submit
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