5th Annual Back To School Bash Vendor Application
Date : July 26th 2025        Time : 11-4pm
Where : Gulf View Square Mall 9409 US-19, Port Richey, FL 34668
Email *
Full name : *
Company Name (n/a if not a business):  *
Email : *
Phone Number : *
Provide a brief description of your business (We are not looking for food vendors for this event!) : *
Do you understand each booth is 10x10?
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Do you need electric? Additional $15 fee
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there is a $50 vendor fee!
 *
Do you agree that pay Vendor fees when submitting application?
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Please Sign and Date *
Sign and Date Here: 
A copy of your responses will be emailed to the address you provided.
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