Vendor Request

Name *

First

Last

Company Name

Email *

Address *

City *

State *

Phone Number *

Product Description *

Dates Requested ($10.00 per date / $40 for all 5)

Table/Chair Request ($5.00 per date)

This includes one 8' foot table and two (2) chairs

Agreement *

I agree not to hold Ney Church of God responsible for lose of product, materials, or harm during the market. I understand that fee's are non-refundable and that my conduct is to be respectful and not include the consumption of alcohol or illegal substances. I also understand that any fee associated with a returned check is my responsibility.

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