Juneteenth Vendor Application

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Ebony Visions 15th Annual Juneteenth Celebration event is June 17, 2023 from 11:00am to 5:00pm at Buttermilk Park. Please bring your own table for set up the day of the event. All donations are tax deductible. Thank you for your interest in participating in our event as a vendor. Set up will start at 10am. Please fill out the information below.

Name of Individual/Organization

Contact Person

Address

Phone (work/cell)

Items displaying or selling

Option 1

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Vendor Booth Registration and Fee. Please choose one.

Commercial Organization/Business - $65 ($50 if register before 5/12/23)

Nonprofit Organization - $40 ($25 if register before 5/12/23)

Friends of Ebony Vision Sponsor - $25

Ally for Equity Sponsor - $0/Free

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Payment Options: Paypal or Check. Please add a note (please write your organization/Juneteenth on your check/paypal)

Paypal. https://www.paypal.com/donate/?hosted_button_id=XTGBC66G7CXTE

Check. Please make checks payable to Ebony Vision and can be mailed to 14 Western Avenue, Suite 203, Fond du Lac WI 54935.

Other:

Questions. If you have any questions, please contact us at ebonyvisionfdl@ebonyvisionfdl.org or 920.410.4132.

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