VENDOR SIGN-UP FORM 
Thank you for you interest in participating in the First annual CELIAC DISEASE FAMILY DAY! Our goal is to raise as much money as possible to TO BENEFIT CELIAC DISEASE RESEARCH FOR COHEN’S CHILDREN’S MEDICAL CENTER - NORTHWELL HEALTH! Please complete the form below in its entirety. Please remember this is a completely GLUTEN FREE/PEANUT AND TREE NUT FREE EVENT! Each VENDOR will be asked to contribute a $100 tax deductable donation for their table. All VENDORS will keep 100% of their sales for the day of the event.

Driftwood Will Provide: "1" 6ft folding table, two chairs per vendor 
Email *
CELIAC DISEASE FAMILY FUN DAY
Vendor/Business Name *
Vendor/Business Website 
Vendor/Business Email Address   *
Vendor/Business Phone Number   *
Vendor Business Instagram/ Facebook
 *
What goods/services do you provide?
Do you need a Table? *
Do you need electric? *
If you replied yes to question above - Please describe what you need electric for?
I will provide a Certificate of Insurance naming Driftwood Day Camp as an additional insured.  *
Contact First Name *
Contact Last Name *
Contact Mobile Number  *
Contact Email Address  *
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