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Vender Application Form
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Company Name
*
First
Last
Company Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Primary Contact Person
*
This company is primarily :
Choose One
*
Business Concession
Non-Profit
Manufacturer/Wholesaler
Retail Store
Choose one
*
Non-Profit Vendor Fee : $50.00
Business Vendor Fee : $100.00
Are you a key member of your company?
(Key member must be in a decision making position an officer, owner, or partner)
Choose One
*
Yes
No
If yes, please complete the following :
Position Title
*
Name
*
Choose Any
*
Accessories
Mirrors/Accessories
Apparel (Ladies)
Apparel (Mens)
Pens/Pencils
Badges/Buttons
Bath Accesories
Shirts/T-Shirts
Bath Apparel
Books/Literature
Candy/Cookies
Kits/Tote Bags
Cups/Mugs
Literature Only
Lingerie
Cosmetics
Decals
Luggage/Purses
Desk/Office Supplies
Dolls
Garment Bags
Monograms
Glassware
Hats/Caps
Hoisery/Socks
Photo/Pictures
Sculpture
Jackets
Jewlery
Leather Goods
Shoes
Sweaters
Travel
Other Merchandise :
*
Please list other organizations and/or companies that you have affiliation with
*
The company accepts the following means of payment for purchase :
*
Check
Zelle
PayPal
Signature
*
Date
*
Submit
Donate
PayPal
(If sending through PayPal, please include transaction fees in your payment)
Home
About Us ▼
Meet The Founder
Programs
>
Hope Basket Program
Kathy Harvey Scholarship
Financial Assistance
GROCERIES AND GAS VOUCHERS
Emotional Support
Bridging Families Program
Our Volunteers
Breast Cancer Info
Events
Upcoming Events
Past Events
Gallery
Donate
Sponsors
Testimonials
Forms
Event Survey Form
VENDOR APPLICATION
Volunteer Intake Form
Assistance Request Form
Support Us