Non-Food Vendor Registration Form Company Name * Type of Business * Contact Person * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### Space Requirements * Electrical Requirements * Terms & Conditions * I/We have read, acknowledge, understand, and accept the requirements to become a Vendor at the Nicodemus Homecoming Emancipation Celebration (Proof of Insurance, Sales Tax Requirements, Electrical Requirements). Please Note: A completed application does not ensure participation in the event. Thank you!See you in July