2023 Men's Summit Vendor Registration June 24, 2023, Washington, LA

Question Title

* 1. What is business structure? Vendor fee is based on structure.

For Profit Merchant $25

Political Campaigners $25

Health Screener FREE

Nonprofit (provide two door prizes; value of each is $10)

Fee waived by promoter

Other (please specify)

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* 2. Business Contact Information

Business Name

Point of Contact's Name

Point of Contact's Phone #

Business Address

City

Zip

Business Phone Number

Business Email

Company Website

Nature of business/product sold

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* 3. I wish to reserve space at the Men's Summit 9am to noon at Washington Civic Center. I understand my space isn't confirmed until the event organizers receive payment.
Preferred method of invoice.

Cash App

Venmo

PayPal

Zelle

Check: Made out to Family Strong Foundation & mailed to 205 School Rd. Church Point, LA 70525

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* 4. By completing this form, I hereby release and agree to hold harmless all event sponsors from any damage to my property or any personal injury which my helpers or I may sustain while participating in the event 6/24/23. Further I agree to abide by the rules, policies, and guidelines developed by the event organizers and understand that failure to follow these rules, policies and guidelines can mean expulsion from the 2023 event or future events. I understand that the event does not carry insurance to cover my personal property. As an independent contractor, I will obtain my own insurance. I understand vendors must be present with their products.

Yes

No