Vendor Participation Application

"*" indicates required fields

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

Event Name*

Contact:*

Location:

Date Of Event:*

Time:

Organization:*

Type of Organization:*

Nonprofit

Business

Address:*

Street Address City State ZIP Code

Phone:*

Email:*

Fax:

Number of Representatives Attending:*

Names of Representatives Attending:*

Contact Numbers (Onsite):*

Tables Needed:*

Chairs Needed:*

Nature of Materials and/or Information to be Provided:*

Special Accommodations:*

*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?*

Yes

Description and Quantity:

Volunteer