Juneteenth Vendor Registration

Approved Vendor Registration

Contact Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone(Required)

Business Name(Required)

Please provide a brief writeup about your good/service for the Community Greenbook Directory:(Required)

Business Website

Business Email

Enter Email Confirm Email

Business Contact Phone(Required)

Business Social Media (if applicable):

Social Platform (Facebook, Instagram, Twitter, YouTube)

Handle/User Name

Upload your Headshot if applicable (High resolution):

Accepted file types: jpg, jpeg, png, gif.

Upload your logo (High resolution):

Accepted file types: jpg, jpeg, png, gif.

Upload Pictures of your goods/services provided:

Accepted file types: jpg, jpeg, png, gif.

Vendor Package(Required)

Digital Package: $50 -- Featured in The Community Greenbook Directory for 12 months. DIGITAL ONLY. | Unity Package (Standard): $125 -- Includes a 6ft table. | Freedom Package (Upgraded): $150 -- Includes a 6ft table and featured in The Community Greenbook Digital Directory for 12 months.

Total

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Approved Vendor Registration

JOIN US ON SUNDAY!

Service Times:

Location:

Email Address: