HOPE Connection and Veterans Stand Down Vendor Registration
Thank you for your interest in being a vendor at this year's HOPE Connection and Veterans Stand Down on Wednesday, November 20, 2019. Direct any questions to mhethcoat@cpozarks.org.

This registration form is NOT for those signing up to volunteer. It is for direct service vendors only.

Before filling out this form, please read the following:

Mission: As a reminder the focus of HOPE Connection and Veterans Stand Dow is on offering direct services.

Out of respect for our Guests, we ask that Vendors refrain from distributing giveaway items. Guests at the event are limited on the amount of items that they can carry. Thank you for your consideration.

Any service provided at HOPE Connection/Stand Down CANNOT have any fees associated with it, including post-event costs.

It is our goal to provide low-barrier access to vital services on-site. If your service involves a screening or test that might require follow-up, we ask that you consider including this at the event if possible.

SPACE AVAILABILITY: Space is limited and priority will be given to agencies providing a direct service. If we are unable to accommodate you, we will notify you by 10/15.

VENDORS WITH MULTIPLE SERVICES: If your organization will be offering multiple services that will require separate booths OR if you will require a split set up to differentiate services, please fill out separate Vendor Registration forms for each.

SET UP: We request that ALL vendors set up the day prior, Tuesday 11/19. Vendors with special set-up requirements (privacy, electricity) MUST set up on Tuesday between 1:30-4:00 P.M. Vendors without special requirements must be set up and ready by 7:30 A.M. on the 20th. All vendors must remain on-site and provide services until 4:00 P.M.

ADVERTISING: All vendors registered by the end of the day on 9/25 will be features in the site map/book distributed at the event. Vendors are asked not to hang additional advertising in the restrooms or on the walls.

Organization name *
Your answer
Organization street address *
Your answer
Organization city and state *
Your answer
Organization zip code
Your answer
Organization website *
Your answer
Organization phone number *
Your answer
Primary contact person *
Your answer
Primary contact email *
Your answer
Primary contact phone
Your answer
How many individuals from your program will be present at HOPE Connection/Stand Down? *
Your answer
Category of Service your Organization Will Provide *
Required
Please provide a brief description of the direct service you will be providing, including any eligibility requirements (ID, documentation, age, etc.) *
Your answer
Is there another agency you need to be set up next to? *
If yes, which agency? *
Your answer
How many tables does your agency need? *
Your answer
Does your agency require access to electricity to perform a direct service?
Please describe in detail your electricity/power needs, including an estimated number of outlets. Please do your best to estimate a true number of outlets rather than overestimating, as we are charged per outlet.
Please indicate any additional technology needs below: *
Required
Please describe any additional needs relating to set-up, including space, patient privacy, etc.
Your answer
Has your agency attended HOPE Connection/Stand Down previously?
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