Diverse City Vendor Form

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Vendor Form

Company Name

Contact Name

Contact Cell Phone

Contact Email

Prospected Event Name

Event Date

Type of Vendor: *

Food

Beverage

Merchandise

Service

Non Profit

Vendor Type

Please Check Items Needed: *

Table

Chairs

Power

Table Cloth

Quantity Needed

Please Upload Logo

Upload File

Upload JPG or PNG file (Max 15MB)

Please Upload Food Certification License (if applicable)

Upload File

Upload JPG or PNG file (Max 15MB)

Please Upload Insurance (if applicable)

Upload File

Upload JPG or PNG file (Max 15MB)

Additional Items (if necessary)

Upload File

Upload JPG or PNG file (Max 15MB)

Additional Information

Thanks for submitting!

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