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The Modern Republic Pop Up Vendor Application Form
Pop Up Vendor application and policy agreement hosted by
The Modern Republic 1600 W. Girard Ave. Philadelphia, PA 19310
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* Indicates required question
Name
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
Name of Business
*
Your answer
Website or Social Media
*
Your answer
Will you include
*
Food
Drinks (alcohol is not permitted)
None
Required
Do you require an electrical outlet?
*
Yes
No
Required
How many, if any, staff will be on site with you?
*
Your answer
Will The Modern Republic team need to prep the space? Please list specifics.
*
Your answer
How much clean up time do you require? (must be immediately after the event).
*
Your answer
Please select set-up preference
*
Set up day of
Set up night before
Required
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