Food/Beverage Vendor Registration Form - Community Empowerment Association

Homewood Community Health & Awareness

Contact Person *
Business/Company Name
Phone Number *
Email Address *
Mailing Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Fee: $75.00 (10' x 10' space) / (1 table and 2 chairs)
Feel free to submit ad copy for a full $100, half $75, quarter $50 page and $25 business card size ad for inclusion in our 8 1/2 x 11 program booklet. All donations are tax-deductible.

Make Check or Money Order Payable to CEA, Inc.

Deadline - August 1, 2021

***Prices subject to change after deadline***

***Tents are NOT provided by CEA***
Description: Please list ALL products you will be selling below Food and bevearge vendors are welcome. (Drug, alcoholic and violence free environment!) *