Vendor Registration Form: 3rd Annual Joint Seerah Conference 2022 Bazaar

ICSB-ICH 3rd Annual Seerah Conference Bazaar
Saturday August, 27th 2022, 3:00 PM – 10:00 PM at ICSB

Please complete this application and submit it to the Islamic Center of South Bay (ICSB) or the Islamic Center of Hawthorne (ICH) office. Please make sure to read the requirements and rules before signing this vendor form.
I, the undersigned vendor agree to hold ICSB and ICH harmless and indemnify them of any claims, loss or damages arising from my business activity during the Seerah Conference Program on August, 27th 2022. Furthermore, I hold ICSB and ICH not responsible for any loss of merchandise or theft or damages to my merchandise and business during the duration of the event. I certify that I am fully responsible for the sale of my merchandise during the program and that it complies with Islamic laws, as well as local, state and federal laws.
Note: Sellers can choose their spots in advance on a first come, first served basis.

Permit fee is $150 for 2 L-Shape tables with 2 chairs regardless of sales and inventory.

Food: 20% of your sales goes to the Masjid ( have to have license).

Name of Applicant: ___________________________ Tax ID #: _________________________
Telephone Number: ______________________ email:_________________________________
Street Address: ________________________________________________________________
City: _____________________________ State: _____              Zip Code: _________________
Date of Application: _________________________ Date of Sale: _______________________
Signature of Applicant:__________________________________________________
Signature of ICSB/ICH officer:_________________________________________________
Items to be sold:

Permit Fee Paid:  _____________ by Cash / Check # / Credit Card
Use this link to pay online:

For official use: _________________________________________
Authorizing Name and Signature:__________________________ Date:_______________
Permission Approved / Rejected:

Submit completed form to Br. Abed Bellouche at ICSB: (310-973-8000) or Br. Omar Ibn Fazel at ICH: (310-988-0074) 

Islamic Center of South Bay - Masjid Al-Noor. 25186 Walnut Street, Lomita CA 90717

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Email *
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Tax ID # *
Phone Number *
Address *
Date of Application *
Items to be sold *
To pay permit fee use below link and add note in comment (see screenshot shot below) *
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If Permit Fee is paid by other means, please explain *
If you are selling Food: 20% of your sales goes to the Masjid (have to have license) and permit fee is NOT required. *
Signature of Applicant *
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