African Village Vendor Application
Kwanzaa *
FIRST NAME *
Your answer
LAST NAME *
Your answer
ADDRESS LINE 1 *
Your answer
ADDRESS LINE 2
Your answer
CITY *
Your answer
STATE *
Your answer
ZIP CODE *
Your answer
PHONE NUMBER *
Your answer
SECONDARY PHONE NUMBER
Your answer
TEXT?
BY NOT ANSWERING, YOU AGREE TO REMINDERS AND MESSAGING ON THE ABOVE PHONE NUMBERS
EMAIL ADDRESS *
Your answer
SECONDARY EMAIL ADDRESS
Your answer
FAX NUMBER
Your answer
POINT OF CONTACT *
ALL INFORMATION WILL BE ADDRESSED TO THE ABOVE POINT OF CONTACT.
Your answer
BUSINESS NAME *
Your answer
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