Black Pride RVA

Vendor Registration 2023

BLACK PRIDE RVA " DAY OF PURPOSE"

Richmond Convention Center (403 N. 3rd Street, Richmond, Va. 23219)

SATURDAY, JULY 15, 2023 11:00am - 4:00pm (ENTRANCE AT 5TH STREET)

**SUNDAY, JULY 16,2023 2:00PM - 7:00PM (BLOCK PARTY - 1407 SHERWOOD AVE)

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Business Name *

- Complete description of retail items to be vended / exhibited:
OR
- Community Partner Name: (non-profit) *

Vendor/Exhibitor Type: *

Non-profit Exhibitor ($150) - (__ JULY 15 or __ JULY 16)

Vendor / Retail ($150) - (NO FOOD VENDORS - JULY 15

** Food Vendors ($150) - (JULY 16 - BLOCK PARTY - 2PM-7PM

ALL Vendors (2-DAY EVENT) -(JULY 15 & 16) $200

Were you referred by For the Fem In You? ________ *

- Method of Payment: *

Check ***

Cash App ($UGRCRVA)

PayPal (ugrcrva@gmail.com)

Other (Please Specify)

*** For the Fem In You Organization?: Yes (check box) *** For the Fem In You Organization?: Yes (check box)

Please submit payment using the following methods:

***Checks: Make payable to: US GIVING RICHMOND CONNECTIONS (UGRC) ; Mail checks to: PO BOX 38381, Henrico, VA 23231

CASH APP: $ugrcrva

PayPal: ugrcrva@gmail.com

WAIVER OF LIABILITY:

I, the person named above, is an officer or an agent of the business or organization named above. By sigining my name below I accept full responsibility for the involvement of the referenced group, organization or individual at the UGRC / Black Pride RVA event. I agree to hold blameless UGRC / Black Pride RVA it successors and assigns and all persons acting under its authority for any civil and or criminal liability under the Law and Regulations of the State of Virginia and these United States which may result from the operation of the UGRC / Black Pride RVA event or any attendant activity. I have read the guidelines and agree to all conditions without further contact or notice.

Signature Date: * +

Signature: *

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