2020 Juneteenth Vendor Registration
Event Date: Saturday, June 20, 2020
Event Address: NewBo City Market, 1100 3rd St SE, Cedar Rapids, IA 52401
Contact us at 319-862-2101, lcassell@blackiowa.org
Email address *
Registration
Please complete and submit the form. Vendor fee must be received before your registration is confirmed.
Vendor Designation *
Contact Name (first & last) *
Your answer
On-Site Representative (if different from Contact Name)
Your answer
Mailing Address (in full) *
Your answer
Contact Phone Number *
Your answer
Contact Email Address *
Your answer
Vendor Description
Please provide a brief description of your business or organization and what you plan to bring. *
Your answer
Payment Options
Your vendor registration fee can be paid by check or by credit card. If paying by check, please make out to African American Museum of Iowa and mail to 55 12th Ave SE, Cedar Rapids, IA 52401. If you would like to pay by credit card, an electronic invoice will be sent to you. All payments must be made by April 30.
How would you like to pay the registration fee? *
I understand that I will have to submit payment to the AAMI no later than April 30, 2020 in order to officially register as a Juneteenth vendor? *
A copy of your responses will be emailed to the address you provided.
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This form was created inside of African American Museum of Iowa.