Vendor Request Form
Name
*
First Name
Last Name
Email
*
example@example.com
Which type of event would you prefer to have your booth?
*
Virtual Events ONLY
Live events ONLY
Virtual and/or Live
Networking Private Events
International Retreats
Will You be Selling a Product or a Service at your booth
Product
Service
Both
Briefly Describe Your Product or Service
*
Do You Already Have A Structured Program to Sell?
*
Yes
No
Currently Building
Mailing Address (No P.O. Boxes please)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
High Resolution HEADSHOT
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of
Upload Bio (150 words or less)
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Business Details
Business Name
*
First Name
Last Name
Business Name
*
Business Email
*
example@example.com
Contact Person
*
First Name
Last Name
My Products
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Live Event Vendor Deposit
Limited Vendor spots available for our live events. Vendor spaces will be awarded on a first come basis. After deposit has been paid the remaining balance will be billed monthly in (2) equal payments of $257
$
500.00
Quantity
1
2
3
4
5
6
7
8
9
10
Live Event Vendor - PAY IN FULL
$
899.00
Network/ Private Event Vendor
You will be notified by our team with private networking sessions date availability
$
250.00
International Women's Retreat
1 EXCLUSIVE Spot Annually. 2024 International Retreat will be in Trinidad & Tobago
$
3,500.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
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