Merchant Table Registration Form

***PLEASE READ***

After submitting this form, you will receive an invoice that can be paid online via credit card, or printed out and mailed with a check. Please note the following information:

If you submit your registration form Monday - Friday, 10AM - 5PM, you should receive your invoice by 6PM that day. Otherwise, you will receive it during the next business day.

If you require specific information to appear on the invoice (other than organization name, contact name and contact information) please add such information in the NOTES section below.

If you have any questions, email: info@harlempride.org.
ORGANIZATION/COMPANY INFORMATION
Organization Name*
Organization/Company Street Address*
Please include floor, room, suite etc.
Organization/Company City*
Organization/Company State*
Organization/Company Zip Code*
Organization/Company Email*
info@example.com
Organization/Company Phone*
Please enter a valid phone number.
Organization/Company Website*
https://example.com
Organization/Company Type*
Facebook @
Instagram @
Twitter @
Other@
Organization/Company EIN/Tax ID Number*
XX-XXXXXXX
NonProfits:Upload IRS 501(c)(3) Determination Letter

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CONTACT INFORMATION (Person(s) who will be at the event.)
Contact Person #1 - First Name*
Contact Person #1 - Last Name*
Contact Person #1 - Title/Position*
Contact Person #1 - Work Email*
info@example.com
Contact Person #1 - Work Phone*
Please enter a valid phone number.
Contact Person #1 - Mobile Phone*
Please enter a valid phone number.
Contact Person #2 - First Name
Contact Person #2 - Last Name
Contact Person #2 - Title/Position
Contact Person #2 - Work Email
info@example.com
Contact Person #2 - Work Phone
Please enter a valid phone number.
Contact Person #2 - Mobile Phone
Please enter a valid phone number.
TABLE INFORMATION
IMPORTANT NOTE*: If you are selling items at your table, you will need a temporary vendors license. It costs $10.00. You can apply for the license online here:
http://www1.nyc.gov/site/dca/businesses/license-checklist-temporary-street-fair-vendor.page
What items will sell at your table?*

0/100
Vendor's License Number
Please upload a copy of your vendor's license

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FEE INFORMATION (ALL payments are non-refundable)
Community Tables*:

Early Bird: $250/table - (February 1st to February 28th)

Regular: $300/table - (March 1st to May 15th)

Late: $500/table - (May 16th to May 31st)

*Organizations needing additional space may purchase two side-by-side Community Tables.

PLEASE NOTE: (We do NOT provide canopies and canopies can be no larger than 10ft x 10ft)
Table Type*
Table Quantity*
Total Table Cost
NOTES: (Please add any additional information here.)

0/500
File Name
Print Name*
Signature*

Clear
Form Submission Date and Time*

MonthDayYear
Date
Hour MinutesAM/PM Option
Should be Empty:

ORGANIZATION/COMPANY INFORMATION

CONTACT INFORMATION (Person(s) who will be at the event.)

TABLE INFORMATION

FEE INFORMATION (ALL payments are non-refundable)