Rooted & Radiant Vendor Registration
Register your organization for the Rooted & Radiant Women’s Health Experience. Support women’s wellness and let your services be known.
Vendor / Organization Information
Business/Organization Name
*
Contact Person Name
*
First Name
Last Name
Contact Email Address
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Website URL
Social Media Links (Instagram, Facebook, etc.)
Booth Details
Do you require electricity?
*
Yes
No
Do you require Wi-Fi?
*
Yes
No
Number of Staff Attending
*
Products / Services Offered
Brief Description of Products/Services
*
Are your products/services health-related?
*
Yes
No
Some of them
Will you be selling items on-site?
*
Yes
No
Sponsorship Level Selection
Select your sponsorship level
*
Presenting Sponsor ($2,000) – Premier visibility, speaking opportunity, vendor table, featured promotion
Gold Sponsor ($1,000) – Logo placement, vendor table, social media feature
Silver Sponsor ($500) – Logo placement, vendor or promotional presence
Community Sponsor ($250) – Name recognition, social media mention
Vendor Registration ($50)- Social media mention
Event Policies
Payment Method Preference
Preferred Payment Method
*
Online Payment https://www.paypal.com/ncp/payment/JA8B9LAVX3U44
CashApp $shoutenough99
Mail checks: Act Enough Inc 34 Nugent Dr, Stafford, VA 22554
Additional Comments or Special Requests
Upload your logo or marketing materials
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Submit Registration
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