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Temporary Vendor Interest Form

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Please correct the field(s) marked in red below:

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The City of Lauderhill hosts many events throughout the year. If you would like to be considered as a vendor for future events, please complete the form below. Your answers and completed information will be sent to our Special Events team for future consideration. You will be contacted by them at a later date if more information is needed or if there may be an opportunity to vend your items at a future event.

1

Vendor Business or Agency Name:

 *
2
What type of company or agency is your organization?
 *
What type of company or agency is your organization?
3

Vendor Main Contact Name:

 *
4

Business or Agency Phone:

5

Vendor Main Contact Cell Phone:

6
Vendor E-mail Address:
 *
7
Vendor Website Address:
8
Vendor Business Street Address
 *
9
Vendor Business City
 *
10
Vendor Business State
 *
11
Vendor Business Zip Code
 *
12

Please select the type of items you would like to vend. If you check a particular box, please also use the text box to explain the types of items in that category (ex. You check "Food", type in hot dogs, jerk chicken, ice cream, etc. in the text field).

 *
Please select the type of items you would like to vend. If you check a particular box, please also use the text box to explain the types of items in that category (ex. You check "Food", type in hot dogs, jerk chicken, ice cream, etc. in the text field).
13
What is included in your set-up?
 *
What is included in your set-up?
14
Please attach a picture or diagram of your set-up (i.e. food truck, tent, etc.).
 *
  1. To receive a copy of your submission, please fill out your email address below and submit.