2. CONTACT NAME
4. EMAIL ADDRESS
6. CELL PHONE #
7. HOME PHONE #
8. BUSINESS PHONE #
10. NON-PROFIT NAME
12. ADDRESS
14. CITY
15. STATE
16. ZIP CODE
18. MISSION TO CONNECT WITH THE COMMUNITY:
20. WE WOULD LIKE TO PARTICIPATE THE FOLLOWING DATES (choose up to four preferred dates):

    1. Saturday, September 3
    2. Saturday, September 10
    3. Saturday, September 17

    1. Saturday, September 24
    2. Saturday, October 1
    3. Saturday, October 8

    1. Saturday, October 15
    2. Saturday, October 22
    3. Saturday, October 29

    **If a date is not listed, it is no longer available. **

22. COMMENTS/ADDITIONAL INFORMATION
24. PARTICIPATION & LICENSE AGREEMENT ACKNOWLEDGEMENT*

    1. Yes, I have read the Agreement.
25. VIEW ONLINE
    2022 Vendor Participation Agreement
27. ELECTRONIC SIGNATURE
28. DATE
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit Submit and Print

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