Preferred Vendor Application
As a preferred vendor we ask that you provide Junior League of Greater Lakeland with a certificate of liability insurance with Junior League named as an additional insured for the period of your insurance policy. We ask for a copy of the declarations page. ( A waiver of subrogation may also be required.)  In addition to filing out this form, Please email ( or mail (PO Box 8797 Lakeland FL 33806) a copy of your business liability insurance.  You do not have to provide the additional secured certificate until you've been hired as a vendor by a Sorosis Building client.
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Business Name *
This is the name as it appears on insurance / business license
Your email address so we may contact you: *
Business license number & county of license *
DBA name if applicable
What is your business category?
Business, phone as you'd like it listed on the web site *
Web site address *
If you do not have a web address please write NA.  
If you currently do not have a web site, can we refer you to an affordable service to build one? *
Do you currently have business general liability insurance? *
Number of employees including you *
Have you been hired as a vendor for an event at the Sorosis Building in the past? *
Do you carry Workers Comp Insurance? *
Do you employ contract workers who are not covered by your general liability insurance? *
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