Request edit access
Platinum Level Application
Thank you for your interest in becoming a Platinum Level Sponsor at the MOMempowerment Expo on April 28, 2019!

Please fill out the application below to be considered as for one of the six Platinum Vendors. All applications will be reviewed and you will be notified of acceptance via email.

Payment ($600) is due upon notice of acceptance. Limited spots available.

Business Name *
Your answer
Requester Name *
Your answer
Email *
Your answer
A table (8ft x 2ft) will be provided for your business in the same area as the other vendors. Do you require additional space? If yes, please describe. (i.e. a clothing boutique may need space for a small rack to hang clothes). *
Your answer
Will you be selling a product onsite? (additional $50) *
Briefly describe your 20 minute demonstration: lecture, demonstration, class participation, etc. (i.e. StrongHer will be putting on a 20 minute workout for all attendees. All levels of fitness are welcome!). *
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 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. *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service