2019 Block Party Vendor Registration Form

You’re invited to a community event! Please join us for our 6th Annual Block Party on September 21, 2019 held in the King Center Parking Lot located at 309 Cora Street, Lafayette, LA 70501! The Block Party will begin at 11 a.m. and is scheduled to conclude at 2 p.m. The main purpose of this event is to spread awareness about A Pregnancy Center & Clinic and the services we provide. We are inviting other vendors to attend to get publicity as well. This event will include vendors, educational materials, media coverage, health screenings, guest speakers, and much more! In exchange for your participation, we ask that you help promote this event and provide a door prize. Vendors are allowed to set up between 8 a.m.- 10 a.m. the day of the event. However, set up must be finished by 10:30 a.m. Registration deadline is September 19, 2019. Please complete this user-friendly registration form! All vendors will receive an email confirming registration.
Email address *
Organization Name *
Your answer
Organization Address *
Your answer
Organization Telephone Number *
Your answer
Organization's Point of Contact *
Your answer
Vendors will be provided with a table and two chairs. Tents are highly encouraged. Please select the option that works best for you. *
Required
All vendors are encouraged to provide a door prize for the attendees. Will your organization be providing a door prize? *
A copy of your responses will be emailed to the address you provided.
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