Vendor Application Form

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Name of Business *

Core Services & Products *

Is your business registered? *

Yes

In the Process

What is the Minimum number of people you can cater for? *

What is the Maximum number of people you can cater for? *

Which of these do you provide? *

Breakfast Menu

Lunch Menu

Pastries

Drinks

Water

Delivery

Required

Provide other details about your Service not listed above.

Which Region are you in? *

Which specific city or town in the Region are you in? *

Name of Contact Person *

Position of Contact Person *

Phone Number of Contact Person *

Email Address of Contact Person *

Are you a WomanRising Member? *

Yes

Other:

Why should we work with you? *

Submit

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