2017 IGNITE Vendor Application
The Renaissance Hotel
9495 West Coyotes Blvd., Glendale, AZ

Vendor Registration Fee $40
Please send fee via Paypal.com to: paypal@livingwellnow.com

February 25th, 2017
Vendor Expo 8:00am-9:00am, 12:00-1:30pm (Schedule subject to change)
Event 9:00am - 5:00pm

Email address *
Organization/ Company *
Your answer
Payment Info *
Required
Contact Person *
Your answer
Address *
Your answer
Phone *
Your answer
Description of Items *
Your answer
Outlet Needed *
WiFi Needed ($20 additional charge) *
Note:
One 6 foot table will be provided. Set up time is at 7:00am. Please be ready to open promptly at 8:00am and ready to close at 9:00am for start of program. We will open vendor tables back up at lunch (approx. 12:00pm - 1:30pm, times may vary)
Deadline:
Turn in completed form and booth fee no later than February 10th. Space is limited. First come first served. We reserve the right to approve or deny applications. All approved applications will receive a confirmation email.
Participant Agreement
If application is approved, the vendor above agrees to participate during the 2017 IGNITE: An Entrepreneurial Event and will be responsible for all booth fees, supplies (other than provided table), set up, and tear down. I understand that booth fees will NOT be refunded if I have been approved and am unable to participate.
Name of Responsible Person (serves as signature of agreement) *
Your answer
Date *
MM
/
DD
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YYYY
A copy of your responses will be emailed to the address you provided.
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