Independence Day Celebration Vendor Application Name(Required) First Last Business Name/Organization(Required)Email(Required) Phone(Required)Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code EIN NumberBooth Type(Required) Food Homemade/Craft Professional Service Description of all items/activities in your booth(Required)Additional Notes(Required)How many spots do you need? Quantity(Required)Choose how many 12' x 12' vendor spots you would like. Price: $80.00 Quantity Total Credit Card(Required)Card Details Cardholder Name PhoneThis field is for validation purposes and should be left unchanged.