Vendor Application

*Deadline for application February 26, 2016

Event: Single Parents Health and Financial Empowerment Expo
Date: March 19, 2016
Time: 8:30 AM - 2 PM
Address: 1000 Southlake Mall, Morrow, Ga 30260

* Indicates required field

Business Name *

Contact Name *

First

Last

Email *

Primary Phone Number *

Cell Phone or Secondary Number *

Business Address *

Line 1

Line 2

City

State

Zip Code

Country

EIN (if applicable) *

Payment Confirmation Number *

What Type of products/merchandise does your business market? *

How will your products benefit single parents and their children? *

(Tables, chairs and table cloths are provided. Items promoting drugs, alcohol and sex WILL NOT be permitted.)
The payment for vendor set up and display is $200.

*Please make payment before submitting form and place your payment confirmation number in requested box above.

Thank you for completing the vendor application. If you have questions or need additional information, please contact us at 770-997-6868 or email .

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Vendor Application

*Deadline for application February 26, 2016

Vendor Payment Here: