UPTOWN EXCHANGE MARKET
VENDOR FORM
Vendor Fees: $100/day OR $150/2 days
Full Name:
*
First Name
Last Name
Company Name:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Which days would you like to attend? Please choose all that apply.
*
Friday, June 13, 2025
Saturday, June 14, 2025
Friday, June 27, 2025
Saturday, June 28, 2025
Social Media Handles
*
Type of Services and/or Products
*
Will you need to be near an outlet?
*
Please Select
Yes
No
Will you be putting up a tent?
*
Please Select
Yes
No
Are you bringing your own table and chairs?
*
Please Select
Yes
No
Do you need 1 space or 2 spaces? (1 space = 1 8ft. Rectangular Table)
*
1 Space
2 Space
What you may need to RENT from us (Choose all that apply - Will be an extra rental fee)
Table
Chairs
Tablecloth(s)
Quantity of rental supplies from question above:
Date Requesting
-
Month
-
Day
Year
Date
Second Date Requesting (if applicable)
-
Month
-
Day
Year
Date
Next Steps...
You will receive a follow-up email from booking@ex1media.com with your Vendor Invoice.
Submit
Should be Empty: