Juneteenth Vendor Payment Hub

Company / Organization Name

Street Address *

Address Line 2

City *

State *

Zip Code *

First Name (POC) *

Last Name (POC) *

Email Address *

Phone Number *

Vendor Application Submission

Vendor Space Type (check ALL that apply) *

Large Food Vendor (extended space) $250.00	Regular Food Vendor (10x10) $200.00	Retail / Non Food Vendor $150.00
Exhibit Vendor - No sales $75.00	Exhibit Vendor - No sales (non-profit) $60.00	Employment and Health Vendor $50.00

Current Total:

$0.00