Vendor Form

Contact Information

First Name *

Last Name *

Vendor Information

Business Name *

Service offered (Vendor to supply Tent, table and marketing material for the day of the event) *

Phone Number *

Email Address *

Mailing Address

Mailing City

Mailing State

Mailing Zip Code

Is there any additional information we should know? Any special requests?

Further Information

By completing this form you agree to hold harmless the Miami Valley Down Syndrome Association, volunteers, other vendors, their officers, and their employees for any illness or injury sustained at the event.