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Independence Day Classic - Vendor Interest Form

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Business/Organization Name: *

Contact Person: *

First

Last

Phone Number: *

Email: *

Email

Confirm Email

Website/Social Media:

Type of Vendor (Check one): *

Retail
Food/Beverage
Health & Wellness
Nonprofit/Community Organization
Other

Other Type of Vendor

Brief Description of Products/Services: *

What items will you be giving out?

BOOTH SPACE REQUIREMENTS *

10’ x 10’ Space
Other (please specify):

Other Booth Space Requirements

Will you be bringing a generator? *

Yes [must provide a fire extinguisher]
No

you REQUIREMENTS BOOTH

Do you have liability insurance?

Yes
No

Please submit this completed form by June 15, 2025.
If selected, you will receive a confirmation email with further instructions and payment details.

VENDOR FEES:

Nonprofits $50
Business $200