Vendor Participation Application

NOTE: All vendors must provide a service to low income and/or homeless individuals. NO SELLING WILL BE PERMITTED.

Event Name(Required)

Contact:(Required)

Location:

Date Of Event:(Required)

Time:

Organization:(Required)

Type of Organization:(Required)

Nonprofit

Business

Address:(Required)

Street Address City State ZIP Code

Phone:(Required)

Email:(Required)

Fax:

Number of Representatives Attending:(Required)

Names of Representatives Attending:(Required)

Contact Numbers (Onsite):(Required)

Tables Needed:(Required)

Chairs Needed:(Required)

Nature of Materials and/or Information to be Provided:(Required)

Special Accommodations:(Required)

*Tables and chairs will be provided at this event. This is an outdoor event; it is recommended that all resource providers bring a canopy.

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Would you like to contribute a raffle prize to the event?(Required)

Yes

Description and Quantity: