Brandon House Vendor Form 
Event Details: Sunday, April 21, 2024 @ 1pm - 5pm
Event Address: Kanis Park,  820 S Rodney Parham Rd, Little Rock, AR 72205   
Contact us at artsovertobacco@brandonhousearts.org or (501) 725-5757
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Email *
Business/Organization/School Name *
Captionless Image
Indicate the category that best describes your organization. *
Business Contact Name
Email *
Phone Number *
Business Website
Description of Products/Services *
What do you need to set-up/vend? *
I understand that in order to vend, I must donate a $25 Visa Gift Card OR donate school supplies and/or hygiene products (providing receipt worth $25), gift certificate(s) to restaurant or clothing/shoe store(s) equal of $25 value. *
Required
Please choose one of the following donation options toward the ReUp. *
Required
I understand that in order to vend, I must arrive at the venue at 12pm to set up, although the public will arrive between 1pm - 2pm.  *
Required
Signing this form releases Brandon House Cultural & Performing Arts Center and/or collaborative parties from any liability and waiver of the right to sue if any loss results from participation in the activity. Signing this acknowledges an understanding of the nature of the activity and the risks involved, and chooses voluntarily to accept those risks.  The participant agrees not to hold Brandon House or collaborative parties responsible for any loss that may result from participation in the activity. Signing this indicates that the participant is financially responsible for any costs incurred as a result of treatment for injury while engaged in activity. Do you agree to these terms? *
Required
If all these answers above are correct, put date this form was submitted below. *
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