Clone of Vendor Registration Form

Vendor Registration

Complete form below to signup as a vendor.
Company Contact Information
Organization/Business Name
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Point of Contact

First NameLast Name
Phone Number (Day)

Area CodePhone Number
Phone Number (Evening)

Area CodePhone Number
E-mail
Company Overview
General Details of Services/Goods
To assist us with preparing for this year's Back To School Carnival & Backpack Giveaway event, please provide your request for tables/chairs if needed below. Please send any questions or concerns to 2ndchanceoutreach2012@gmail.com.
Please check the number of tables requested
Please check the number of chairs requested
Please advise if your set up requires electrical outlet access
Should be Empty:

Vendor Registration