Vendor Registration Form
Event Date is December 2, 2023,  from 10am - 3pm
Location is UAW Local 685, 929 E Hoffer St, Kokomo, IN 46902

Registration Fee: $35 (includes 1 table and 2 chairs, power will be provided first come, first serve)

Setup: Building will be accessible at 8AM, vendors must be set up by 9:30AM. Doors open to public at 10AM. Event concludes at 3PM, all items should be removed by 4:30PM.

Day of event: Upon arrival at UAW 685 Union Hall, check-in with Douglass School representatives to complete the following:
• Verify participation and receive booth assignment
• Provide door prize item for raffle (Gift certificate/card are acceptable)
• Inquire of any questions/needs

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Email *
Business Name
Contact Person *
Phone Number *
Mailing Address
City, State and Zip Code
Please provide a brief description of the types of products you intend to sell during the Holiday Pop Up Shop. (food, clothing, handmade decor, custom items, woodworking, etc.)
# of booths needed
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Do you need electricity?
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How much time do you need for set up and tear down of booth?
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By signing this form I agree:
• To follow any Health & Safety Protocols required for the safety of all patrons  
• If selling food, I will provide a permit and/or proof of my food safety certification (all food must be prepackaged)
• To provide 1 door prize used for our raffle.

Please type your name here for electronic signature: *
Questions for event planners?
REGISTRATION FORM and payment are due by November 18, 2022.
Upon submission of this form you will be prompted to submit payment for your participation.  
Should you have any questions, you can contact Karon Lancaster at karonlancaster@gmail.com

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