Retail Vendor Registration Form

Retail Vendor Registration

Complete form below to signup as a retail vendor.
1. Basic Information
Business Name
Point of Contact

First NameLast Name
Phone Number (Day)

Area CodePhone Number
Phone Number (Evening)

Area CodePhone Number
E-mail
Website: (if applicable)
Business Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
2. Product Information
Brief Description of Products
Price Range of Products/Services:
Are your products handmade or locally sourced?
3. Booth Requirements
Booth Size Requested:
If other, Please Specify:
Do you require electricity?
Do you require Wi-Fi?
Other special requirements: (please specify)
4. Insurance and Licensing
Do you have a current vendor license?
Do you have liability insurance?
If yes, please upload a copy of your certificate of insurance.

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Upload Vendor License (if applicable):

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5. Marketing and Promotion
Would you like to be featured in our event marketing?
If yes, please provide a brief business description (100 words or less) and a high-resolution logo.
File Upload

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6. Additional Information
How did you hear about our event?
Any additional comments or questions?
7. Agreement
By submitting this form, I confirm that all information provided is accurate and agree to abide by the event rules and regulations.
Date

MonthDayYear
Date
Company Representative Signature

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Retail Vendor Registration