Registration Form

Queen Beanery October 10th night Vendor Event

This will be our first evening event at the Queen Beanery! Set up will be between 3-3:30pm and run though 8pm. Please fill out the registration below and submit back. We hope that we can get everyone on our lawn at some point this year to showcase what you're passionate about!! Please be sure to submit photos of your items and/or previous booth setups! Reach out if you have questions!!
Full Name

First NameLast Name
Company Name
E-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Product Category
Description of your Products:
Price Range of your Products:
Attach photos of your products here:

Accepted file formats: GIF, JPG and PNG
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Social Pages
Blog:
Twitter ID:
Multiply:
MySpace Page:
Facebook Fan Page:
Website:
Additional Comments/Questions:
If you have additional questions or comments, let us know here.
My Products
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Product Name
$10.00 Quantity

Product Name
Free Quantity

Total

$0.00
Should be Empty:

Queen Beanery October 10th night Vendor Event