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Print and use this page or click here to download a pdf.
Sacred Space XX Vendor Application
February 18-21, 2010
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Company / Business Contact
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Vendor / Personal
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Name of Business:
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Legal Name:
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Business Address:
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Home Address:
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City, State, Postal Code:
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City, State, Postal Code:
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Business Phone:
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Home Phone:
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Best time to call:
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Best time to call:
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Email (business):
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Email (personal):
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Web Site:
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Name to use on Badge:
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Maryland Tax ID #:
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Affiliation:
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Special Needs (Not Guaranteed: we will do our
best.): Please rank 1, 2, and 3
[ ] Wall [ ] Electricity [ ] Phone
[ ] Other:
Special
Considerations:
(Diagram on Back if Needed)
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Number of Tables
Required: 1 2
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Please
put me on the Waiting List: [ ]
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Merchandise Categories
(Please check all that apply):
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Art/Art
Prints: o
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Books: o
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Gems/Minerals: o
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Jewelry: o
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Media: o
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Ritual
Items: o
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Other (Please Describe):
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Please fill out the following
information for any business personnel who will be working at your table.
You
will receive one registration per table as part of the table fee, and may purchase
one additional
registration per
table for an assistant at the rate of $85.00.
NOTE: This information will
be used for assistant conference registration, and must be completed. Without
this information, we will not be able to process registration for your
assistant(s).
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Personal Information: Assistant 1 (Optional)
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Personal Information: Assistant 2 (Optional)
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Legal Name:
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Legal Name:
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Address:
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Address:
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City, State/Province, Postal Code:
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City, State/Province, Postal Code:
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Phone:
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Phone:
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Email (personal):
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Email (personal):
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Name to use on Badge:
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Name to use on Badge:
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Affiliation:
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Affiliation:
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Send me _____ flyers; I'll help advertise (the more people
who attend, the better we all do).
Enclosed
is:
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$100 Table 1 (includes one
conference registration)
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$100 Table 2 (includes one
conference registration)
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$85 additional conference
registration for one assistant per table
Total Amount Enclosed:
Signature: Date:
My
signature affirms that I have read and understood the information in the Vendor
Application Letter.
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