Juneteenth Community Organizations
To be held June 15, 2019 at Gershiwin Park. If you are a non for profit organization, church, or government agency this is the application for you. Please fill this out in its entirety. We look forward to working with you.

Set up is at 10am
Event Start at 11am
Event Ends at 6pm
Please let us know if you can provide your own table and chairs.
If you have any questions please email us at info@umojaevents.com or contact us at 646-522-9869.

Thanks for joining us at our 10th Annual!
Email address *
Vendor Business Type? *
Do you have any permits you would like to include? *
Tax ID : EIN Number (Government agencies put "exempt") *
Your answer
When was your permit issued?
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DD
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YYYY
When does your permit expire?
MM
/
DD
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YYYY
What is your Business Mailing address 1? *
Your answer
What is your business address 2?
Your answer
Business City? *
Your answer
Business State? *
Your answer
Business Zip code? *
Your answer
Business Name or Entity *
Your answer
How did you hear about this event? (Please be as specific as possible) *
Your answer
Contact Name *
Your answer
Contact Number *
Your answer
Name and cell number of person who will be tabling for the Juneteenth Event? *
Your answer
Can you provide your own table and chairs? *
What items is your organization planning to giveaway to the community? *
Your answer
A copy of your responses will be emailed to the address you provided.
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