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Gold & Silver Level Vendor Application
Thank you for your interest in becoming a vendor at the MOMempowerment Expo on April 28, 2019!

Please fill out the application below to be considered. All applications will be reviewed and you will be notified of acceptance via email.

Payment is due upon notice of acceptance. Gold Level ($150). Silver Level ($120). Limited spots available.

Business Name *
Your answer
Requester Name *
Your answer
Email *
Your answer
Gold Level or Silver Level? *
Additional space required? If yes, please describe. *
Your answer
Will you be selling a product onsite? (additional $50) *
Do you have any special set up requirements? ( a clothing boutique may need extra space for a small clothing rack or you may prefer to be near an outlet)
Your answer
Description of Business / Services (25 words or less). This will be listed in the program under your business name. *
Your answer
Contact Information: phone number OR email address. This will be listed with your description in the program. *
Your answer
What do you plan on giving away or raffling at your table? (free samples, business card with candy attached, raffle for product, etc)
Your answer
What will be your contribution to the Grand Prize Giveaway? AND, What is the dollar amount value? *
Your answer
Any other information we should know about your business.
Your answer
I have read through the Vendor Policies and understand my responsibilities. *
Required
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